MEDICARE: MS. SHARON L. AUDET MSW

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	1041C0700X	Clinical Social Worker	LC6346	ME

General Provider Information

NPI Number	:	1093004038
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SHARON L. AUDET MSW

Provider Business Mailing Address
First Line	:	3 SHORT DR UNIT 2
Second Line	:
City	:	KENNEBUNK
State	:	ME
Zip	:	04043-6750
Country	:	US
Telephone Number	:	207-337-0660
Fax Number	:

Provider Business Practice Location Address
First Line	:	11 MAIN ST STE 2
Second Line	:
City	:	KENNEBUNK
State	:	ME
Zip	:	04043-7005
Country	:	US
Telephone Number	:	207-337-0660
Fax Number	:	207-646-7807

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

Provider Enumeration Date	:	03/30/2011
Last Update Date	:	12/03/2025

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