Provider Demographics
NPI:1033298377
Name:OLIVER, SHARON KAY (LCSW)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:KAY
Last Name:OLIVER
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 1:1700 17TH
Mailing Address - Street 2:
Mailing Address - City:BROWNWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:76801
Mailing Address - Country:US
Mailing Address - Phone:325-646-0873
Mailing Address - Fax:325-643-3906
Practice Address - Street 1:2700 HWY 377 SOUTH SUITE 114
Practice Address - Street 2:
Practice Address - City:BROWNWOOD
Practice Address - State:TX
Practice Address - Zip Code:76801
Practice Address - Country:US
Practice Address - Phone:325-643-3906
Practice Address - Fax:325-643-3906
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2010-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS069981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX064040101Medicaid
TX00S27WMedicare ID - Type Unspecified