| Sblcsw Llc | |
|
2209 Points Reach Berlin MD 21811-4215 | |
| (908) 955-3542 | |
| Not Available |
| Full Name | Sblcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2209 Points Reach, Berlin, Maryland |
| Authorized Official Name and Position | Sharon Buck (LICENSED CLINICAL SOCIAL WORK) |
| Authorized Official Contact | 9088871320 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sblcsw Llc 2209 Points Reach Berlin MD 21811-4215 Ph: (908) 955-3542 | Sblcsw Llc 2209 Points Reach Berlin MD 21811-4215 Ph: (908) 955-3542 |
| NPI Number | 1649673179 |
|---|---|
| Provider Enumeration Date | 09/29/2014 |
| Last Update Date | 05/25/2022 |
| Certification Date | 05/19/2022 |
| Medicare PECOS PAC ID | 0042531188 |
|---|---|
| Medicare Enrollment ID | O20150602000759 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649673179 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC05494100 (New Jersey) | Primary |
| Provider Name | Sharon Buck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275965691 PECOS PAC ID: 9931420080 Enrollment ID: I20150602001316 |
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