Schmidt, Kevin Blaine
Schmidt, Kevin Blaine is an sole proprietor health care provider with primary practice located at 4810 W Bexley Park Dr Unit C , Delray Beach FL 33445-3577. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, 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
4810 W Bexley Park Dr Unit C
Delray Beach FL 33445-3577
Phone: (305) 310-6618
Fax: (561) 330-5268
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 12706 | Florida |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 107688 | California |
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 | Sep 13th, 2024 - about 2 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 | 1629421086 | NPPES |
| Florida | Other | SW 12706 | SOCIAL WORK |
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