Individual
MS. SHARON LOUISE ASH TANCREDI
Active
Individual
MS. SHARON LOUISE ASH TANCREDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC5788
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022448
ANTHEM
ME
01
—
14Y007426ME01
BHN
NE
01
—
153616XX
PREFERRED CARE
ME
01
—
22001001
CIGNA
ME
01
—
3837221
AETNA
ME
01
—
7643480
AETNA
ME
01
—
9357960
PHCS
ME
Enumeration date
07/17/2006
Last updated
07/08/2007
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