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Contact Information

DECARLOS K SCIPPIO, LCSW
226 SW PINE FOREST CT
LAKE CITY, FL32024
 Phone: 386-344-8355
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for DECARLOS K SCIPPIO · (Male)

NPI Number 1093186777
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 10/07/2015
Last updated 09/19/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # SW21614
  • FL Other S100-171-87-297-0 DRIVER LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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