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NPI Code Detail

MEDICARE: SHERILYN C CHASE L.C.S.W.

MEDICARE: SHERILYN C CHASE L.C.S.W.
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 Worker003971CT

General Provider Information

NPI Number : 1376595512
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHERILYN C CHASE L.C.S.W.
Provider Business Mailing Address
First Line : PO BOX 390
Second Line :
City : NEW LONDON
State : CT
Zip : 06320-0390
Country : US
Telephone Number : 860-443-0036
Fax Number : 860-271-4797
Provider Business Practice Location Address
First Line : 113 SALEM TPKE
Second Line :
City : NORWICH
State : CT
Zip : 06360-6484
Country : US
Telephone Number : 860-271-4700
Fax Number : 860-271-4797
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2006
Last Update Date : 02/24/2016

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Directions to “ SHERILYN C CHASE L.C.S.W.” Practice Location

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