MEDICARE: VLADIMIR CHERNOV 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	104100000X	Social Worker	SW141258	PA

General Provider Information

NPI Number	:	1689527624
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VLADIMIR CHERNOV LSW

Provider Business Mailing Address
First Line	:	410 N PRINCE ST
Second Line	:
City	:	LANCASTER
State	:	PA
Zip	:	17603-3010
Country	:	US
Telephone Number	:	717-560-7917
Fax Number	:	717-560-6452

Provider Business Practice Location Address
First Line	:	410 N PRINCE ST
Second Line	:
City	:	LANCASTER
State	:	PA
Zip	:	17603-3010
Country	:	US
Telephone Number	:	717-560-7917
Fax Number	:	717-560-6452

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

Provider Enumeration Date	:	02/18/2026
Last Update Date	:	02/18/2026

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Directions to “ VLADIMIR CHERNOV LSW” Practice Location

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