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1538161575

NPI Code Detail

MEDICARE: MS. KAREN BRANDON LSW

MEDICARE: MS. KAREN BRANDON 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
1	101YM0800X	Mental Health Counselor	012135	PA
2	101YP1600X	Pastoral Counselor	012135	PA
3	104100000X	Social Worker	012135	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	124530	OTHER	PA	VALUE OPTIONS
2	222910	OTHER	PA	COMPSYCH
3	485274000	OTHER	PA	MAGELLAN
4	810554001	OTHER	PA	AETNA
5	810554001	OTHER	PA	TRICARE
6	1617024	OTHER	PA	FEDERAL HIGHMARK BS
7	810554001	OTHER	PA	TEAM EAP
8	810554001	OTHER	PA	TEAMSTERS
9	50026345	OTHER	PA	CAPITAL BLUE CROSS
10	810554001	OTHER	PA	PACIFICARE
11	810554001	OTHER	PA	HEALTHNET TRICARE
12	1011538850001	OTHER	PA	DEPT. OF PUBLIC WELFARE
13	8001959469	OTHER	PA	COMMUNITY BEH.MENTAL HLTH
14	810554001	OTHER	PA	QUEST

General Provider Information

NPI Number	:	1538161575
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KAREN BRANDON LSW

Provider Business Mailing Address
First Line	:	47 W POMFRET ST
Second Line	:
City	:	CARLISLE
State	:	PA
Zip	:	17013-3217
Country	:	US
Telephone Number	:	717-258-0214
Fax Number	:	717-258-3158

Provider Business Practice Location Address
First Line	:	47 W POMFRET ST
Second Line	:
City	:	CARLISLE
State	:	PA
Zip	:	17013-3217
Country	:	US
Telephone Number	:	717-258-0214
Fax Number	:	717-258-3158

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

Provider Enumeration Date	:	08/10/2005
Last Update Date	:	03/11/2010

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1306881743 — PAUL ANTHONY CLEMENTS L.C.S.W.
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Directions to “ MS. KAREN BRANDON LSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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