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NPI Code Detail

MEDICARE: THEODORA SCARATO LCSW-C

MEDICARE: THEODORA SCARATO LCSW-C
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 Worker11298MD

General Provider Information

NPI Number : 1396083085
Entity Type Code : Individual
Provider Name (Legal Business Name) : THEODORA SCARATO LCSW-C
Provider Business Mailing Address
First Line : 1812 POWDER MILL RD
Second Line :
City : SILVER SPRING
State : MD
Zip : 20903-1515
Country : US
Telephone Number : 240-863-8179
Fax Number :
Provider Business Practice Location Address
First Line : 10440 LITTLE PATUXENT PKWY
Second Line : SUITE 530
City : COLUMBIA
State : MD
Zip : 21044-3561
Country : US
Telephone Number : 410-740-3240
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2013
Last Update Date : 01/30/2013

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