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NPI Code Detail

MEDICARE: SHARMAINE J BENALLY MSW

MEDICARE: SHARMAINE J BENALLY MSW
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 WorkerBBH-LCSW-LIC57015MT
2104100000XSocial WorkerC-07501NM

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1821161845
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHARMAINE J BENALLY MSW
Provider Business Mailing Address
First Line : PO BOX 3629
Second Line :
City : WINDOW ROCK
State : AZ
Zip : 86515
Country : US
Telephone Number : 505-464-1608
Fax Number :
Provider Business Practice Location Address
First Line : 425 SMELTER AVE NE
Second Line :
City : GREAT FALLS
State : MT
Zip : 59404-1927
Country : US
Telephone Number : 406-247-7130
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2006
Last Update Date : 06/28/2024

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