NPI 1093186777

Decarlos Kouvaris Scippio, LCSW

Practitioner Clinical Social Worker Lake City, FL

Practice location

Address: 226 SW Pine Forest CT, Lake City, FL 32024
Phone: (386) 344-8355

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence SW21614 (FL)

Other Social Worker providers in Florida →

Registry record

NPI: 1093186777
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Oct 2015
Record last updated: 19 Sep 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.