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NPI Code Detail

MEDICARE: PEARSON-CARMODY COUNSELING

MEDICARE: PEARSON-CARMODY COUNSELING
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
1251S00000XCommunity/Behavioral Health AgencyQ1-0000983DE
21041C0700XClinical Social Worker

General Provider Information

NPI Number : 1750727970
Entity Type Code : Organization
Provider Name (Legal Business Name) : PEARSON-CARMODY COUNSELING
Provider Business Mailing Address
First Line : PO BOX 572
Second Line :
City : BETHANY BEACH
State : DE
Zip : 19930-0572
Country : US
Telephone Number : 443-206-0457
Fax Number : 302-402-6100
Provider Business Practice Location Address
First Line : 32630 CEDAR DR UNIT A
Second Line :
City : MILLVILLE
State : DE
Zip : 19967-6946
Country : US
Telephone Number : 443-206-0457
Fax Number : 302-402-6100
Authorized Official
Title or Position : LCSW/OWNER
Name : AMANDA E PEARSON-CARMODY
Credential : LCSW
Telephone Number : 443-206-0457
Provider Enumeration Date : 05/14/2013
Last Update Date : 02/06/2026

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