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NPI Code Detail

MEDICARE: AMY CAROLINE MACHARG LCSW

MEDICARE:   AMY CAROLINE MACHARG  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
11041C0700XClinical Social WorkerSW15401FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1194229823
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY CAROLINE MACHARG LCSW
Provider Business Mailing Address
First Line : 7703 HARE AVE APT 59
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32211-7752
Country : US
Telephone Number : 904-575-6910
Fax Number :
Provider Business Practice Location Address
First Line : 7703 HARE AVE APT 59
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32211-7752
Country : US
Telephone Number : 904-575-6910
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2018
Last Update Date : 07/12/2021

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Directions to “ AMY CAROLINE MACHARG LCSW” Practice Location

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