MEDICARE: MARY ELIZEBETH SIKORA 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
1	1041C0700X	Clinical Social Worker	4124C	AL

General Provider Information

NPI Number	:	1790270940
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY ELIZEBETH SIKORA LICSW

Provider Business Mailing Address
First Line	:	1006 IRVING RD
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35209-3428
Country	:	US
Telephone Number	:	229-894-1525
Fax Number	:

Provider Business Practice Location Address
First Line	:	1809 OXMOOR RD STE 1
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35209-3505
Country	:	US
Telephone Number	:	229-894-1525
Fax Number	:

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

Provider Enumeration Date	:	06/28/2018
Last Update Date	:	05/27/2026

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