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NPI Code Detail

MEDICARE: ANDREW THOMAS SHARKEY PRS CMS

MEDICARE: ANDREW THOMAS SHARKEY PRS CMS
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
1101YM0800XMental Health CounselorOH
2175T00000XPeer SpecialistAPS.006727OH
3171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1366136533
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW THOMAS SHARKEY PRS CMS
Provider Business Mailing Address
First Line : PO BOX 402
Second Line :
City : WHEELERSBURG
State : OH
Zip : 45694-0402
Country : US
Telephone Number : 740-858-6683
Fax Number :
Provider Business Practice Location Address
First Line : 9620 CAREYS RUN POND CREEK RD
Second Line :
City : MC DERMOTT
State : OH
Zip : 45652-3902
Country : US
Telephone Number : 740-858-6683
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2023
Last Update Date : 08/12/2025

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