MEDICARE: MS. SHARIFA J ARMORER 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
1	1041C0700X	Clinical Social Worker	072473-1	NY
2	1041S0200X	School Social Worker	072473-1	NY
3	106H00000X	Marriage & Family Therapist	072473-1	NY

General Provider Information

NPI Number	:	1760696819
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SHARIFA J ARMORER LCSW-R

Provider Business Mailing Address
First Line	:	4067 BARNES AVE
Second Line	:	SUITE 2
City	:	BRONX
State	:	NY
Zip	:	10466-4328
Country	:	US
Telephone Number	:	914-384-3905
Fax Number	:

Provider Business Practice Location Address
First Line	:	4067 BARNES AVE
Second Line	:	SUITE 1
City	:	BRONX
State	:	NY
Zip	:	10466-4328
Country	:	US
Telephone Number	:	914-384-3905
Fax Number	:

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

Provider Enumeration Date	:	05/09/2007
Last Update Date	:	12/11/2008

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