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NPI Code Detail

MEDICARE: SHERRIE DREW LCAS, LCSWA

MEDICARE:   SHERRIE  DREW  LCAS, LCSWA
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
11041C0700XClinical Social WorkerP010460NC
2101YA0400XAddiction (Substance Use Disorder) Counselor22907NC

General Provider Information

NPI Number : 1740730993
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHERRIE DREW LCAS, LCSWA
Provider Business Mailing Address
First Line : 6900 FARMINGDALE DR
Second Line :
City : CHARLOTTE
State : NC
Zip : 28212-5551
Country : US
Telephone Number : 704-536-6853
Fax Number : 704-445-4582
Provider Business Practice Location Address
First Line : 6900 FARMINGDALE DR
Second Line :
City : CHARLOTTE
State : NC
Zip : 28212-5551
Country : US
Telephone Number : 704-536-6853
Fax Number : 704-445-4582
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2016
Last Update Date : 08/20/2021

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Directions to “ SHERRIE DREW LCAS, LCSWA” Practice Location

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