MEDICARE: MR. JOHN C SCHARFENKAMP M.A.

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	103T00000X	Psychologist	6301001290	MI
2	1041C0700X	Clinical Social Worker	6801017781	MI

General Provider Information

NPI Number	:	1679553028
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JOHN C SCHARFENKAMP M.A.

Provider Business Mailing Address
First Line	:	8010 DEERWOOD RD
Second Line	:
City	:	CLARKSTON
State	:	MI
Zip	:	48348-4526
Country	:	US
Telephone Number	:	248-207-3396
Fax Number	:

Provider Business Practice Location Address
First Line	:	8010 DEERWOOD RD
Second Line	:
City	:	CLARKSTON
State	:	MI
Zip	:	48348-4526
Country	:	US
Telephone Number	:	248-207-3396
Fax Number	:

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

Provider Enumeration Date	:	01/20/2006
Last Update Date	:	09/11/2025

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