MEDICARE: MS. TANYA SCHERER LCSW

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	CSW003958	GA

General Provider Information

NPI Number	:	1063650364
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. TANYA SCHERER LCSW

Provider Business Mailing Address
First Line	:	922 NAPIERS POST DR
Second Line	:
City	:	EVANS
State	:	GA
Zip	:	30809-6428
Country	:	US
Telephone Number	:	706-627-9684
Fax Number	:

Provider Business Practice Location Address
First Line	:	183 ACADEMIC DR
Second Line	:
City	:	FORT GORDON
State	:	GA
Zip	:	30905-5933
Country	:	US
Telephone Number	:	706-627-9684
Fax Number	:

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

Provider Enumeration Date	:	01/26/2009
Last Update Date	:	10/25/2013

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