| Kathryn Scrivener, Lcsw | |
|
3201 Shamrock St S Ste 103 Tallahassee FL 32309-3349 | |
| (850) 566-0648 | |
| Not Available |
| Full Name | Kathryn Scrivener, Lcsw |
|---|---|
| Speciality | Social Worker |
| Location | 3201 Shamrock St S Ste 103, Tallahassee, Florida |
| Authorized Official Name and Position | Kathryn Scrivener (OWNER) |
| Authorized Official Contact | 8505660648 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kathryn Scrivener, Lcsw 3201 Shamrock St S Ste 103 Tallahassee FL 32309-3349 Ph: (850) 566-0648 | Kathryn Scrivener, Lcsw 3201 Shamrock St S Ste 103 Tallahassee FL 32309-3349 Ph: (850) 566-0648 |
| NPI Number | 1801418348 |
|---|---|
| Provider Enumeration Date | 05/07/2020 |
| Last Update Date | 02/16/2021 |
| Certification Date | 02/16/2021 |
| Medicare PECOS PAC ID | 1456762012 |
|---|---|
| Medicare Enrollment ID | O20201203000301 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801418348 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 305S00000X | Point Of Service | (* (Not Available)) | Secondary |
| Provider Name | Kathryn Scrivener |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205251501 PECOS PAC ID: 2365853926 Enrollment ID: I20201203000345 |
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