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NPI Code Detail

MEDICARE: SHARON L CLANCY LMSW

MEDICARE: SHARON L CLANCY LMSW
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
1104100000XSocial Worker00071811NY

General Provider Information

NPI Number : 1205494903
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHARON L CLANCY LMSW
Provider Business Mailing Address
First Line : 391 WESTERN AVE
Second Line :
City : ALBANY
State : NY
Zip : 12203-1491
Country : US
Telephone Number : 518-242-4731
Fax Number :
Provider Business Practice Location Address
First Line : 391 WESTERN AVE
Second Line :
City : ALBANY
State : NY
Zip : 12203-1491
Country : US
Telephone Number : 518-242-4731
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2019
Last Update Date : 05/29/2019

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Directions to “ SHARON L CLANCY LMSW” Practice Location

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