Schmidt, Kevin Blaine

Schmidt, Kevin Blaine is an sole proprietor health care provider with primary practice located at 2100 Lake Ida Rd Ste 2, Delray Beach FL 33445-2442. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Schmidt, Kevin Blaine can be contacted via phone (305) 310-6618.

Contact Information

Primary practice address
2100 Lake Ida Rd Ste 2 Delray Beach FL 33445-2442
Phone: (305) 310-6618
Fax: (561) 330-5268
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X SW 12706 Florida

Profile Details

NPI number 1629421086
LBN Legal business name Schmidt, Kevin Blaine
Credentials LCSW#12706
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 20th, 2016
Last updated Apr 9th, 2019 - about 5 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 1629421086 NPPES
Florida Other SW 12706 SOCIAL WORK

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