Sharon Jones

Individual provider Active NPI Clinical Social Worker · Fruitland, MD

NPI 1346713401 · NPPES record last updated Jan 10, 2019

Key facts

NPI
1346713401
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
09408 (MD)
Practice address
532 S Division St
Fruitland, MD 21826-1805
Phone
(410) 749-8869
NPI assigned
Jan 10, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
09408MDMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 09408 MD Yes

Addresses

Primary practice location

532 S Division St
Fruitland, MD 21826-1805

Mailing address

532 S Division St
Fruitland, MD 21826-1805
Phone (410) 677-5140

Other providers in Fruitland, MD

All providers in Fruitland, MD · Clinical Social Worker in Maryland

Sources for this page

Verify at the official NPI Registry.