| Kim Patton Lcsw Llc | |
|
7050 W Palmetto Park Road Ste 15-412 Boca Raton FL 33433 | |
| (561) 305-3117 | |
| Not Available |
| Full Name | Kim Patton Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 7050 W Palmetto Park Road, Boca Raton, Florida |
| Authorized Official Name and Position | Kim A Patton (OWNER/MBR LCSW) |
| Authorized Official Contact | 5613053117 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kim Patton Lcsw Llc 7050 W Palmetto Park Road Ste 15-412 Boca Raton FL 33433 Ph: (561) 305-3117 | Kim Patton Lcsw Llc 7050 W Palmetto Park Road Ste 15-412 Boca Raton FL 33433 Ph: (561) 305-3117 |
| NPI Number | 1033825773 |
|---|---|
| Provider Enumeration Date | 01/26/2023 |
| Last Update Date | 01/26/2023 |
| Certification Date | 01/26/2023 |
| Medicare PECOS PAC ID | 6709242761 |
|---|---|
| Medicare Enrollment ID | O20230517000269 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033825773 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kim A Patton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750893921 PECOS PAC ID: 0244696201 Enrollment ID: I20230517001717 |
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