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NPI Code Detail

MEDICARE: KATHRYN RENEE DELAPP LCSW, CMSW, JD

MEDICARE:   KATHRYN RENEE DELAPP  LCSW, CMSW, JD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker
21041C0700XClinical Social Worker8132-CAR

General Provider Information

NPI Number : 1841298056
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHRYN RENEE DELAPP LCSW, CMSW, JD
Provider Business Mailing Address
First Line : 1218 W 11TH ST
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72202-4722
Country : US
Telephone Number : 865-406-8462
Fax Number : 501-404-9049
Provider Business Practice Location Address
First Line : 1218 W 11TH ST
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72202-4722
Country : US
Telephone Number : 865-406-8462
Fax Number : 501-404-9049
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2005
Last Update Date : 01/19/2023

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Directions to “ KATHRYN RENEE DELAPP LCSW, CMSW, JD” Practice Location

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