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NPI Code Detail

MEDICARE: MS. DEBRA A. MCSHERRY LCSW, LSOTP

MEDICARE: MS. DEBRA A. MCSHERRY LCSW, LSOTP
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
1101YA0400XAddiction (Substance Use Disorder) Counselor94138TX
21041C0700XClinical Social Worker13173TX

General Provider Information

NPI Number : 1811136138
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DEBRA A. MCSHERRY LCSW, LSOTP
Provider Business Mailing Address
First Line : 3131 SANGUINET ST
Second Line :
City : FORT WORTH
State : TX
Zip : 76107-5336
Country : US
Telephone Number : 817-255-2500
Fax Number : 817-255-2657
Provider Business Practice Location Address
First Line : 3131 SANGUINET ST
Second Line :
City : FORT WORTH
State : TX
Zip : 76107-5336
Country : US
Telephone Number : 817-255-2500
Fax Number : 817-255-2657
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2009
Last Update Date : 02/10/2009

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