Doctor Name: | LIDIA EMPERATRIZ KINSEY |
NPI Number: | 1003217233 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | SW 12201 |
Business Practice Address: | 801 Douglas Ave Altamonte Springs, FL - 32714 |
Business Phone Number: | 4078306412 |
Business Fax Number: | |
Mailing Address: | Santiago De Veraguas, VERAGUAS |
State: | PANAMA |
Postal Code: | 507 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/08/2014 |
NPI Last Update Date: | 09/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | SW 12201 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |