MEDICARE: SHARON ANN MCCARTHY 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	101YM0800X	Mental Health Counselor	SW127463	PA

General Provider Information

NPI Number	:	1700119625
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARON ANN MCCARTHY LSW

Provider Business Mailing Address
First Line	:	190 GRANDVIEW DR S
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15215-1821
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	190 GRANDVIEW DR S
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15215-1821
Country	:	US
Telephone Number	:	412-954-5347
Fax Number	:	412-954-5369

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

Provider Enumeration Date	:	09/10/2009
Last Update Date	:	09/10/2009

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