Menocal, Kathleen
Menocal, Kathleen is an sole proprietor health care provider with primary practice located at 1025 W New York Ave , Deland FL 32720-5169. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Menocal, Kathleen can be contacted via phone (386) 738-6400.Contact Information
Primary practice address
1025 W New York Ave
Deland FL 32720-5169
Phone: (386) 738-6400
Fax: (386) 304-6337
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | SW6761 | Florida |
Profile Details
| NPI number | 1801932512 |
|---|---|
| LBN Legal business name | Menocal, Kathleen |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 29th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801932512 | NPPES |
| Florida | Other | Z023L | BLUE CROSS BLUE SHIELD |
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