MEDICARE: SHARONDA PERKINS

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	251S00000X	Community/Behavioral Health Agency
2	104100000X	Social Worker	S.0030910	OH

General Provider Information

NPI Number	:	1659888568
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARONDA PERKINS

Provider Business Mailing Address
First Line	:	26055 EMERY RD STE G
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44128-6211
Country	:	US
Telephone Number	:	216-342-4445
Fax Number	:	216-342-4443

Provider Business Practice Location Address
First Line	:	26055 EMERY RD STE G
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44128-6211
Country	:	US
Telephone Number	:	216-342-4445
Fax Number	:	216-342-4443

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

Provider Enumeration Date	:	01/02/2018
Last Update Date	:	01/05/2023

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Directions to “ SHARONDA PERKINS ” Practice Location

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