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NPI Code Detail

MEDICARE: MRS. EVAN MICAH ORR-SIPOS LSW

MEDICARE: MRS. EVAN MICAH ORR-SIPOS LSW
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 WorkerSW143922PA

General Provider Information

NPI Number : 1467387191
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. EVAN MICAH ORR-SIPOS LSW
Provider Business Mailing Address
First Line : PO BOX 94
Second Line :
City : LA PLUME
State : PA
Zip : 18440-0094
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 951 MAIN ST
Second Line :
City : HONESDALE
State : PA
Zip : 18431-1903
Country : US
Telephone Number : 570-280-6321
Fax Number : 272-216-8433
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2026
Last Update Date : 06/15/2026

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Directions to “ MRS. EVAN MICAH ORR-SIPOS LSW” Practice Location

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