Rosalyn Barrett Deckerhoff, LCSW
Individual provider Active NPI Clinical Social Worker · Tallahassee, FL
NPI 1730210279 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1730210279
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- SW5704 (FL)
- Practice address
- 1616 Physicians Dr
Tallahassee, FL 32308-4619 - Phone
- (850) 431-5124
- NPI assigned
- Mar 8, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW5704 | FL | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW5704 | FL | Yes |
Addresses
Primary practice location
1616 Physicians Dr
Tallahassee, FL 32308-4619
Mailing address
1616 Physicians Dr
Tallahassee, FL 32308-4619
Phone (850) 431-5124
Other providers in Tallahassee, FL
- Debra Vangaasbeek Arnp, MSN, Inc
- Tailyn Mae Debruyne
- Elijah Decamillo
- Kathryn Anne Decarlo
- Allyson Nicole Decastro
- John A Declue
- Keonna Decree
- Jessica K Dedge
- Martha Dedricks
- Al E. Deeb
All providers in Tallahassee, FL · Clinical Social Worker in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.