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NPI Code Detail

MEDICARE: SHARON CARL LCSW

MEDICARE: SHARON CARL LCSW
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 Worker34000039AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2000000352021OTHERINANTHEM BCBS

General Provider Information

NPI Number : 1598760654
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHARON CARL LCSW
Provider Business Mailing Address
First Line : 3403 E RAYMOND ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46203-4744
Country : US
Telephone Number : 317-957-2000
Fax Number :
Provider Business Practice Location Address
First Line : 3401 E RAYMOND ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46203-4744
Country : US
Telephone Number : 317-957-2100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2005
Last Update Date : 04/25/2024

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Directions to “ SHARON CARL LCSW” Practice Location

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