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NPI Code Detail

MEDICARE: LOURDES ARLEN BARRETO MSW

MEDICARE: LOURDES ARLEN BARRETO MSW
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
1101YM0800XMental Health CounselorSW21774FL
21041C0700XClinical Social WorkerSW21774FL

General Provider Information

NPI Number : 1841410800
Entity Type Code : Individual
Provider Name (Legal Business Name) : LOURDES ARLEN BARRETO MSW
Provider Business Mailing Address
First Line : 13548 SW 59 LN
Second Line :
City : MIAMI
State : FL
Zip : 33183-7182
Country : US
Telephone Number : 786-270-6288
Fax Number :
Provider Business Practice Location Address
First Line : 15924 SW 92ND AVE
Second Line :
City : PALMETTO BAY
State : FL
Zip : 33157-1842
Country : US
Telephone Number : 305-964-5824
Fax Number : 786-452-1200
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2007
Last Update Date : 08/12/2024

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Directions to “ LOURDES ARLEN BARRETO MSW” Practice Location

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