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
Fax: (561) 330-5268
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629421086 NPPES
Florida Other SW 12706 SOCIAL WORK

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