Provider Demographics
NPI:1033310164
Name:GATES, SHARON E (LSW)
Entity Type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:E
Last Name:GATES
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:630 JANET AVE
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-4527
Mailing Address - Country:US
Mailing Address - Phone:717-397-5241
Mailing Address - Fax:717-397-2530
Practice Address - Street 1:630 JANET AVE
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-4527
Practice Address - Country:US
Practice Address - Phone:717-397-5241
Practice Address - Fax:717-397-2530
Is Sole Proprietor?:No
Enumeration Date:2007-05-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW002977E104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker