MEDICARE: SHERYL LYNN RETO

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	PO17773	NC
2	1041C0700X	Clinical Social Worker	C019205	NC

General Provider Information

NPI Number	:	1114651577
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHERYL LYNN RETO

Provider Business Mailing Address
First Line	:	11005 LEGENDS LN
Second Line	:
City	:	MATTHEWS
State	:	NC
Zip	:	28105-1261
Country	:	US
Telephone Number	:	704-819-8808
Fax Number	:

Provider Business Practice Location Address
First Line	:	11005 LEGENDS LN
Second Line	:
City	:	MATTHEWS
State	:	NC
Zip	:	28105-1261
Country	:	US
Telephone Number	:	704-819-8808
Fax Number	:

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

Provider Enumeration Date	:	07/12/2022
Last Update Date	:	12/20/2025

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