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NPI Code Detail

MEDICARE: SARAH PENA LMSW

MEDICARE: SARAH PENA 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 Worker29106MD

General Provider Information

NPI Number : 1427746064
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH PENA LMSW
Provider Business Mailing Address
First Line : 7725 HORNBEAM DR UNIT 240
Second Line :
City : ELKRIDGE
State : MD
Zip : 21075-7966
Country : US
Telephone Number : 702-234-9401
Fax Number :
Provider Business Practice Location Address
First Line : 1363 BECKNEL AVE
Second Line :
City : ODENTON
State : MD
Zip : 21113-1501
Country : US
Telephone Number : 410-760-9079
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2023
Last Update Date : 05/01/2023

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Directions to “ SARAH PENA LMSW” Practice Location

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