Beverly, Kathryn

Beverly, Kathryn is an individual health care provider with primary practice located at 2526 Madewood Dr , Fort Pierce FL 34981-5080. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Beverly, Kathryn can be contacted via phone (772) 341-5699.

Contact Information

Primary practice address
2526 Madewood Dr Fort Pierce FL 34981-5080
Phone: (772) 341-5699
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X SW10902 Florida

Profile Details

NPI number 1689914657
LBN Legal business name Beverly, Kathryn
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2013
Last updated Oct 13th, 2025 - about last year

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 1689914657 NPPES
Florida Other SW10902 MEDICAL LICENSE

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