MEDICARE: SCHARRON KANE LSW

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	104100000X	Social Worker	0028567	OH

General Provider Information

NPI Number	:	1952800146
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCHARRON KANE LSW

Provider Business Mailing Address
First Line	:	3736 KETCH RUN
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43219-3174
Country	:	US
Telephone Number	:	614-592-0465
Fax Number	:

Provider Business Practice Location Address
First Line	:	3736 KETCH RUN
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43219-3174
Country	:	US
Telephone Number	:	614-592-0465
Fax Number	:

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

Provider Enumeration Date	:	02/02/2018
Last Update Date	:	03/17/2018

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Directions to “ SCHARRON KANE LSW” Practice Location

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