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NPI Code Detail

MEDICARE: SHEILA T ODONNELL LCSW

MEDICARE: SHEILA T ODONNELL 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
11041C0700XClinical Social Worker094272NY
21041C0700XClinical Social Worker09427201NY

General Provider Information

NPI Number : 1992833123
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHEILA T ODONNELL LCSW
Provider Business Mailing Address
First Line : 102 SOUTHWEST WAY
Second Line :
City : CAMILLUS
State : NY
Zip : 13031-1209
Country : US
Telephone Number : 315-487-0086
Fax Number :
Provider Business Practice Location Address
First Line : 600 S WILBUR AVE
Second Line :
City : SYRACUSE
State : NY
Zip : 13204-2730
Country : US
Telephone Number : 315-476-7441
Fax Number : 315-476-7446
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2007
Last Update Date : 07/02/2024

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Directions to “ SHEILA T ODONNELL LCSW” Practice Location

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