| Susan Tielker-sharpe Counseling, Llc | |
|
4656 W Jefferson Blvd Suite 285 Fort Wayne IN 46804-6857 | |
| (260) 422-9372 | |
| (260) 422-0843 |
| Full Name | Susan Tielker-sharpe Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 4656 W Jefferson Blvd, Fort Wayne, Indiana |
| Authorized Official Name and Position | Susan Marie Tielker-sharpe (THERAPIST/COUNSELOR) |
| Authorized Official Contact | 2604229372 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Tielker-sharpe Counseling, Llc 4656 W Jefferson Blvd Suite 285 Fort Wayne IN 46804-6857 Ph: (260) 422-9372 | Susan Tielker-sharpe Counseling, Llc 4656 W Jefferson Blvd Suite 285 Fort Wayne IN 46804-6857 Ph: (260) 422-9372 |
| NPI Number | 1124463625 |
|---|---|
| Provider Enumeration Date | 05/09/2013 |
| Last Update Date | 05/23/2013 |
| Medicare PECOS PAC ID | 8123252145 |
|---|---|
| Medicare Enrollment ID | O20131007000836 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124463625 | NPI | - | NPPES |
| Provider Name | Susan M Tielker Sharpe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871537753 PECOS PAC ID: 4183602170 Enrollment ID: I20040707001210 |
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