MEDICARE: SHARRINA WATERS LMSW

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	104100000X	Social Worker

General Provider Information

NPI Number	:	1598422289
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARRINA WATERS LMSW

Provider Business Mailing Address
First Line	:	8319 PIONEER FLD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78253-4765
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8319 PIONEER FLD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78253-4765
Country	:	US
Telephone Number	:	601-604-0004
Fax Number	:

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

Provider Enumeration Date	:	11/17/2021
Last Update Date	:	11/17/2021

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Directions to “ SHARRINA WATERS LMSW” Practice Location

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