MEDICARE: MS. CHERYL SACHS MSW, ACSW, SSW-S

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	1041S0200X	School Social Worker

General Provider Information

NPI Number	:	1003026980
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CHERYL SACHS MSW, ACSW, SSW-S

Provider Business Mailing Address
First Line	:	15 ANN DR
Second Line	:
City	:	EAST GREENWICH
State	:	RI
Zip	:	02818-1125
Country	:	US
Telephone Number	:	401-762-5154
Fax Number	:

Provider Business Practice Location Address
First Line	:	2214 PROVIDENCE PIKE
Second Line	:
City	:	NORTH SMITHFIELD
State	:	RI
Zip	:	02896-9338
Country	:	US
Telephone Number	:	401-765-2260
Fax Number	:

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

Provider Enumeration Date	:	05/22/2007
Last Update Date	:	07/08/2007

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