Karen Ann Avesato in Jacksonville - Clinical
Karen Ann Avesato - NPI 1588653984
Karen Ann Avesato is a Clinical in Jacksonville, Florida. Karen Ann Avesato practices all healthcare services and medical treatments related to Clinical. The NPI Number for Karen Ann Avesato is 1588653984. The last update date is 2013-07-23.
Karen Ann Avesato's current location address is 4250 Lakeside Dr, Jacksonville, Florida. You can contact this provider via phone number 9048071228 and fax number 9048071220. The mailing address for Karen Ann Avesato is 4250 Lakeside Dr, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Karen Ann Avesato |
|---|---|
| Address | 4250 Lakeside Dr, Jacksonville, Florida |
| Phone Number | 9048071228 |
| Fax Number | 9048071220 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1588653984 |
|---|---|
| Provider Enumeration Date | 2005-10-18 |
| Last Updated Date | 2013-07-23 |
Provider Mailing Address Detail
| Address | 4250 Lakeside Dr |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322103358 |
| Phone Number | 9048071228 |
| Fax Number | 9048071220 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | SW7401 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 76657500 | FL | -- | |
| Z086H | FL | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Karen Ann Avesato by the Centers for Medicare & Medicaid Services?
The Karen Ann Avesato has been assigned the NPI (National Provider Identifier) 1588653984 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Karen Ann Avesato?
The Karen Ann Avesato is physically situated at 4250 Lakeside Dr, in the city of Jacksonville, state of FL, with the postal code 322103358.
What is the Karen Ann Avesato's area of specialization and corresponding taxonomy classification?
The Karen Ann Avesato's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1588653984 to Karen Ann Avesato?
The Karen Ann Avesato received its 1588653984 assignment from the Centers for Medicare & Medicaid Services on 2005-10-18.
When was the information related to Karen Ann Avesato most recently updated or refreshed?
The details pertaining to the Karen Ann Avesato, including its address, specialty, and other relevant information, were last updated or refreshed on 2013-07-23.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY