Kaidi Tastet-Ortiz, LCSW
Social Worker, Clinical in St Augustine, FL. Individual provider (NPI-1).
NPI number1982152278
StatusActive
Last updated in NPPESSep 14, 2016
Details
- NPI
- 1982152278
- Entity type
- Individual (NPI-1)
- Name
- Kaidi Tastet-Ortiz
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 14, 2016
- Last updated
- Sep 14, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | sw12222 | FL | Yes |
Practice location
1400 Old Dixie HwySt Augustine, FL 32084-4190
Phone 904-829-2273
Mailing address
1400 Old Dixie HwySt Augustine, FL 32084-4190
Phone 904-829-2273
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All 97 Clinical Social Worker providers in St Augustine · All 2,630 providers in St Augustine
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