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NPI Code Detail

MEDICARE: TERESA M KIRCHNER LICSW

MEDICARE: TERESA M KIRCHNER LICSW
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 WorkerLW60408905WA

General Provider Information

NPI Number : 1922166255
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERESA M KIRCHNER LICSW
Provider Business Mailing Address
First Line : 134 N 4TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11249-3296
Country : US
Telephone Number : 646-450-7748
Fax Number :
Provider Business Practice Location Address
First Line : 134 N 4TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11249-3296
Country : US
Telephone Number : 360-993-3000
Fax Number : 360-993-3047
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2006
Last Update Date : 07/01/2022

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Directions to “ TERESA M KIRCHNER LICSW” Practice Location

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