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NPI Code Detail

MEDICARE: SHARON DALESSANDRO LMSW

MEDICARE: SHARON DALESSANDRO LMSW
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 Worker22970MD

General Provider Information

NPI Number : 1689277121
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHARON DALESSANDRO LMSW
Provider Business Mailing Address
First Line : 5830 ABERDALE PL
Second Line :
City : ADAMSTOWN
State : MD
Zip : 21710-9451
Country : US
Telephone Number : 301-802-4560
Fax Number :
Provider Business Practice Location Address
First Line : 11670 OLD NATIONAL PIKE STE 103
Second Line :
City : NEW MARKET
State : MD
Zip : 21774-6123
Country : US
Telephone Number : 301-865-6720
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2020
Last Update Date : 11/18/2020

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