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NPI Code Detail

MEDICARE: SHARON BERRY LCSW

MEDICARE: SHARON BERRY LCSW
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 WorkerSW7440FL

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 : 1760478309
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHARON BERRY LCSW
Provider Business Mailing Address
First Line : 790 VETERANS WAY
Second Line :
City : PENSACOLA
State : FL
Zip : 32507-1000
Country : US
Telephone Number : 850-912-2269
Fax Number : 850-912-2436
Provider Business Practice Location Address
First Line : 790 VETERANS WAY
Second Line :
City : PENSACOLA
State : FL
Zip : 32507-1000
Country : US
Telephone Number : 850-912-2000
Fax Number : 850-912-2269
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2005
Last Update Date : 04/22/2014

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Directions to “ SHARON BERRY LCSW” Practice Location

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