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1073553806

NPI Code Detail

MEDICARE: SHERRY A RICHARDS MSW, LCSW

MEDICARE: SHERRY A RICHARDS MSW, 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	104100000X	Social Worker	PS006462L	PA
2	1041C0700X	Clinical Social Worker	PS006462L	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	800009077	OTHER	PA	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	124996	OTHER	PA	VALUE OPTIONS
3	01106601	OTHER	PA	CAPITAL BLUE CROSS
4	258417	OTHER	PA	MAMSI
5	687075	OTHER	PA	BC/BS OF MD CARE FIRST
6	2017849	OTHER	PA	CIGNA BEHAVIORAL HEALTH
7	990568	OTHER	PA	PABS (FEP ONLY)
8	229856000	OTHER	PA	MAGELLAN

General Provider Information

NPI Number	:	1073553806
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHERRY A RICHARDS MSW, LCSW

Provider Business Mailing Address
First Line	:	1803 MOUNT ROSE AVE
Second Line	:	SUITE B3
City	:	YORK
State	:	PA
Zip	:	17403-3026
Country	:	US
Telephone Number	:	717-851-1405
Fax Number	:	717-851-6349

Provider Business Practice Location Address
First Line	:	3550 CONCORD RD
Second Line	:
City	:	YORK
State	:	PA
Zip	:	17402-8626
Country	:	US
Telephone Number	:	717-851-6340
Fax Number	:	717-851-6349

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

Provider Enumeration Date	:	06/08/2006
Last Update Date	:	03/04/2016

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Directions to “ SHERRY A RICHARDS MSW, LCSW” Practice Location

Language	Start Address	Practice Location

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