Kimberly Birch
Individual provider Active NPI Social Worker · Deltona, FL
NPI 1548824006 · NPPES record last updated Apr 30, 2019
Key facts
- NPI
- 1548824006
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 517 Deltona Blvd
Deltona, FL 32725-8016 - Phone
- (386) 259-5413
- NPI assigned
- Apr 30, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Yes |
Addresses
Primary practice location
517 Deltona Blvd
Deltona, FL 32725-8016
Mailing address
PO Box 160261
Altamonte Springs, FL 32716-0261
Phone (502) 472-7509
Other practice location 1
2479 Aloma Ave
Winter Park, FL 32792-2541
Phone (407) 657-6692
Other providers in Deltona, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 30, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.