Ms Irene Shane Klotz, LMSW CPT is a
Social Worker based in Bronx, New York. Ms Irene Shane Klotz is licensed to practice in New York (license number 049540-1) and her current practice location is
3265 Johnson Ave, Suite 105, Bronx, New York. She can be reached at her office (for appointments etc.) via phone at
(917) 796-4456.
NPI number for Ms Irene Shane Klotz is 1295171817 and her current mailing address is 3265 Johnson Ave, Suite 105, Bronx, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1295171817.
Healthcare Provider's Profile
| Full Name | Ms Irene Shane Klotz |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker |
|---|
| Location | 3265 Johnson Ave, Bronx, New York |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1295171817
- Provider Enumeration Date: 05/22/2013
- Last Update Date: 05/22/2013
Medical Identifiers
Medical identifiers for Ms Irene Shane Klotz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295171817 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | 049540-1 (New York) | Secondary |
| 103K00000X | Behavior Analyst | 049540-1 (New York) | Secondary |
| 104100000X | Social Worker | 049540-1 (New York) | Primary |
| 171M00000X | Case Manager/care Coordinator | 049540-1 (New York) | Secondary |
| 172V00000X | Community Health Worker | 049540-1 (New York) | Secondary |
| 174400000X | Specialist | 049540-1 (New York) | Secondary |
| 174H00000X | Health Educator | 049540-1 (New York) | Secondary |
| 208D00000X | General Practice | 049540-1 (New York) | Secondary |
| 246RP1900X | Technician, Pathology - Phlebotomy | 049540-1 (New York) | Secondary |
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. Ms Irene Shane Klotz 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 |
|---|
Ms Irene Shane Klotz, LMSW CPT
3265 Johnson Ave, Suite 105,
Bronx, NY 10463-3539
Ph: (917) 796-4456 | Ms Irene Shane Klotz, LMSW CPT
3265 Johnson Ave, Suite 105,
Bronx, NY 10463-3539
Ph: (917) 796-4456 |
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