MEDICARE: SHARON MCCLURKIN LCPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	LC6092	MD
2	101YP1600X	Pastoral Counselor	LC6092	MD
3	101YP2500X	Professional Counselor	LC6092	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073865689
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARON MCCLURKIN LCPC

Provider Business Mailing Address
First Line	:	1707 ROSEMONT AVE
Second Line	:
City	:	FREDERICK
State	:	MD
Zip	:	21702-4135
Country	:	US
Telephone Number	:	240-347-2581
Fax Number	:

Provider Business Practice Location Address
First Line	:	1707 ROSEMONT AVE
Second Line	:
City	:	FREDERICK
State	:	MD
Zip	:	21702-4135
Country	:	US
Telephone Number	:	240-347-2581
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/05/2012
Last Update Date	:	09/09/2018

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