Klaskow, Leonard

Klaskow, Leonard is an individual health care provider with primary practice located at 4250 66Th St N , Kenneth City FL 33709-4918. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Klaskow, Leonard can be contacted via phone (727) 546-2405.

Contact Information

Primary practice address
4250 66Th St N Kenneth City FL 33709-4918
Phone: (727) 546-2405
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X SW0002787 Florida
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW2787 Florida

Profile Details

NPI number 1013963099
LBN Legal business name Klaskow, Leonard
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Oct 15th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013963099 NPPES
Florida MEDICAID 764075700

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