Mr Kevin Duane Larry, LMSW, LCSW is a
Social Worker - Clinical based in Mableton, Georgia. Mr Kevin Duane Larry is licensed to practice in Georgia (license number CSW003802) and his current practice location is
1119 Silvergate Ln, Mableton, Georgia. He can be reached at his office (for appointments etc.) via phone at
(404) 988-7120.
NPI number for Mr Kevin Duane Larry is 1396932281 and his current mailing address is 1119 Silvergate Lane, Mableton, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1396932281.
Healthcare Provider's Profile
| Full Name | Mr Kevin Duane Larry |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 1119 Silvergate Ln, Mableton, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1396932281
- Provider Enumeration Date: 09/25/2007
- Last Update Date: 07/30/2018
Medical Identifiers
Medical identifiers for Mr Kevin Duane Larry such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396932281 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | CSW003802 (Georgia) | Secondary |
| 1041C0700X | Social Worker - Clinical | 6801061643 (Michigan) | Secondary |
| 1041C0700X | Social Worker - Clinical | CSW003802 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Kevin Duane Larry is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Kevin Duane Larry, LMSW, LCSW
1119 Silvergate Lane,
Mableton, GA 30126
Ph: (404) 988-7120 | Mr Kevin Duane Larry, LMSW, LCSW
1119 Silvergate Ln,
Mableton, GA 30126
Ph: (404) 988-7120 |
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