MEDICARE: KARA ANNE WORRALL

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	1041C0700X	Clinical Social Worker	APC000259	PA

General Provider Information

NPI Number	:	1619774023
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARA ANNE WORRALL

Provider Business Mailing Address
First Line	:	8958 HILL DR
Second Line	:
City	:	IRWIN
State	:	PA
Zip	:	15642-3112
Country	:	US
Telephone Number	:	724-755-3020
Fax Number	:

Provider Business Practice Location Address
First Line	:	8958 HILL DR
Second Line	:
City	:	IRWIN
State	:	PA
Zip	:	15642-3112
Country	:	US
Telephone Number	:	724-755-3020
Fax Number	:

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

Provider Enumeration Date	:	02/25/2025
Last Update Date	:	02/25/2025

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