Provider Demographics
NPI:1184073967
Name:KERKER, AUSTIN (LCSW)
Entity type:Individual
Prefix:
First Name:AUSTIN
Middle Name:
Last Name:KERKER
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16499 NE 19TH AVE STE 106
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33162-4107
Mailing Address - Country:US
Mailing Address - Phone:732-684-6795
Mailing Address - Fax:
Practice Address - Street 1:16499 NE 19TH AVE STE 106
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33162-4107
Practice Address - Country:US
Practice Address - Phone:732-684-6795
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-13
Last Update Date:2020-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW134411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical