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NPI Code Detail

MEDICARE: MRS. SARAHROSE HOGAN LCSW-R

MEDICARE:  MRS. SARAHROSE  HOGAN  LCSW-R
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 Worker086613NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1750779476
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SARAHROSE HOGAN LCSW-R
Provider Business Mailing Address
First Line : 175 GREEN ST
Second Line :
City : KINGSTON
State : NY
Zip : 12401-3716
Country : US
Telephone Number : 845-532-9460
Fax Number :
Provider Business Practice Location Address
First Line : 175 GREEN ST
Second Line :
City : KINGSTON
State : NY
Zip : 12401-3716
Country : US
Telephone Number : 845-532-9460
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2015
Last Update Date : 12/06/2022

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