Provider Demographics
NPI:1003803362
Name:ROSEMAN, SHARON DEBRA (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:DEBRA
Last Name:ROSEMAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4741 NE 27TH AVE
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33308-4818
Mailing Address - Country:US
Mailing Address - Phone:954-895-6031
Mailing Address - Fax:954-351-9876
Practice Address - Street 1:1975 E SUNRISE BLVD
Practice Address - Street 2:STE 513
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33304-1433
Practice Address - Country:US
Practice Address - Phone:954-895-6031
Practice Address - Fax:954-351-9876
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW66831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical