MEDICARE: DORA CARIO

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
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1891464665
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DORA CARIO

Provider Business Mailing Address
First Line	:	1322 SE 46TH LN STE 204
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33904-8642
Country	:	US
Telephone Number	:	239-470-4385
Fax Number	:

Provider Business Practice Location Address
First Line	:	1322 SE 46TH LN STE 204
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33904-8642
Country	:	US
Telephone Number	:	239-470-4385
Fax Number	:

Authorized Official
Title or Position	:	OWNER/MANAGER
Name	:	DORA CARIO
Credential	:	LCSW
Telephone Number	:	239-470-4385

Provider Enumeration Date	:	09/07/2021
Last Update Date	:	05/04/2022

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Directions to “DORA CARIO ” Practice Location

Language	Start Address	Practice Location

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