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NPI Code Detail

MEDICARE: SHARON ROSE YOUNKIN LICSW

MEDICARE: SHARON ROSE YOUNKIN LICSW
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
11041C0700XClinical Social WorkerISW02074RI
21041C0700XClinical Social Worker212226MA
31041C0700XClinical Social Worker114096MA
41041C0700XClinical Social Worker011666CT

General Provider Information

NPI Number : 1316166374
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHARON ROSE YOUNKIN LICSW
Provider Business Mailing Address
First Line : 4 HIGHLAND ST APT 14
Second Line :
City : PAWTUCKET
State : RI
Zip : 02860-5153
Country : US
Telephone Number : 401-749-3387
Fax Number :
Provider Business Practice Location Address
First Line : 1130 TEN ROD RD STE E305
Second Line :
City : NORTH KINGSTOWN
State : RI
Zip : 02852-4176
Country : US
Telephone Number : 401-294-0451
Fax Number : 401-294-0461
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2007
Last Update Date : 05/02/2023

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Directions to “ SHARON ROSE YOUNKIN LICSW” Practice Location

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