Where The Sidewalk Ends, Llc | |
105 North Michael St. Suite 101 Saint Marys PA 15857-1327 | |
(814) 834-4016 | |
(814) 834-1309 |
Full Name | Where The Sidewalk Ends, Llc |
---|---|
Speciality | Social Worker |
Location | 105 North Michael St. Suite 101, Saint Marys, Pennsylvania |
Authorized Official Name and Position | Sharon Marie Zaffarese-dippold (PRESIDENT) |
Authorized Official Contact | 8148344016 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Where The Sidewalk Ends, Llc Po Box 783 Saint Marys PA 15857-0783 Ph: (814) 834-4016 | Where The Sidewalk Ends, Llc 105 North Michael St. Suite 101 Saint Marys PA 15857-1327 Ph: (814) 834-4016 |
NPI Number | 1609088608 |
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Provider Enumeration Date | 05/04/2007 |
Last Update Date | 09/29/2022 |
Certification Date | 09/28/2022 |
Medicare PECOS PAC ID | 4183998651 |
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Medicare Enrollment ID | O20170921002205 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609088608 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
104100000X | Social Worker | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Sharon M Zaffarese Dippold |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1235229170 PECOS PAC ID: 0749248896 Enrollment ID: I20170921002175 |
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