MEDICARE: MISS JAMIE L. SHOWERS 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
1	1041C0700X	Clinical Social Worker	CW021334	PA

General Provider Information

NPI Number	:	1790919611
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS JAMIE L. SHOWERS LCSW

Provider Business Mailing Address
First Line	:	1107 S LINCOLN AVE
Second Line	:
City	:	LEBANON
State	:	PA
Zip	:	17042-7168
Country	:	US
Telephone Number	:	717-649-8959
Fax Number	:

Provider Business Practice Location Address
First Line	:	1107 S LINCOLN AVE
Second Line	:
City	:	LEBANON
State	:	PA
Zip	:	17042-7168
Country	:	US
Telephone Number	:	717-649-8959
Fax Number	:

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

Provider Enumeration Date	:	05/06/2009
Last Update Date	:	05/11/2026

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