MEDICARE: COMMUNITY INTEGRATION

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

General Provider Information

NPI Number	:	1073229530
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMMUNITY INTEGRATION

Provider Business Mailing Address
First Line	:	1314 QUARRY LN
Second Line	:
City	:	LANCASTER
State	:	PA
Zip	:	17603-2424
Country	:	US
Telephone Number	:	717-559-5030
Fax Number	:	717-222-5248

Provider Business Practice Location Address
First Line	:	1314 QUARRY LN
Second Line	:
City	:	LANCASTER
State	:	PA
Zip	:	17603-2424
Country	:	US
Telephone Number	:	717-559-5030
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MICHAEL ROBERT SUGAR
Credential	:	LCSW
Telephone Number	:	717-559-5030

Provider Enumeration Date	:	01/27/2023
Last Update Date	:	06/10/2026

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Directions to “COMMUNITY INTEGRATION ” Practice Location

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