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NPI Code Detail

MEDICARE: MS. SHARON L CARPENTER CLINICASOCIAL WORKER

MEDICARE:  MS. SHARON L CARPENTER  CLINICASOCIAL WORKER
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
11041C0700XClinical Social WorkerCW015791PA

General Provider Information

NPI Number : 1114150265
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SHARON L CARPENTER CLINICASOCIAL WORKER
Provider Business Mailing Address
First Line : 1617 ELM ST # 2
Second Line :
City : GREENSBURG
State : PA
Zip : 15601-5449
Country : US
Telephone Number : 724-787-7496
Fax Number :
Provider Business Practice Location Address
First Line : 140 N BEESON AVE
Second Line : 405
City : UNIONTOWN
State : PA
Zip : 15401-2937
Country : US
Telephone Number : 724-787-7496
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2009
Last Update Date : 12/07/2012

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Directions to “ MS. SHARON L CARPENTER CLINICASOCIAL WORKER” Practice Location

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