MEDICARE: MS. SHARON ANNE DELCONTE LCSW CASAC

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	R0263791	NY

General Provider Information

NPI Number	:	1740216209
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SHARON ANNE DELCONTE LCSW CASAC

Provider Business Mailing Address
First Line	:	7266 BUCKLEY RD
Second Line	:
City	:	NORTH SYRACUSE
State	:	NY
Zip	:	13212-2649
Country	:	US
Telephone Number	:	315-458-0919
Fax Number	:	315-458-0954

Provider Business Practice Location Address
First Line	:	7266 BUCKLEY RD
Second Line	:
City	:	NORTH SYRACUSE
State	:	NY
Zip	:	13212-2649
Country	:	US
Telephone Number	:	315-458-0919
Fax Number	:	315-458-0954

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

Provider Enumeration Date	:	06/24/2006
Last Update Date	:	07/08/2007

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