MEDICARE: MRS. CHERYL K KARPINSKI LCSWR

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	019330	NY

General Provider Information

NPI Number	:	1386752442
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CHERYL K KARPINSKI LCSWR

Provider Business Mailing Address
First Line	:	426 LONG RD
Second Line	:
City	:	TULLY
State	:	NY
Zip	:	13159-9430
Country	:	US
Telephone Number	:	315-727-8855
Fax Number	:	315-696-8251

Provider Business Practice Location Address
First Line	:	426 LONG RD
Second Line	:
City	:	TULLY
State	:	NY
Zip	:	13159-9430
Country	:	US
Telephone Number	:	315-727-8855
Fax Number	:	315-696-8251

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

Provider Enumeration Date	:	08/28/2006
Last Update Date	:	07/08/2007

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