Provider Demographics
NPI:1043318272
Name:MURPHY, SHARON ANN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:SHARON
Middle Name:ANN
Last Name:MURPHY
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 1:300 VETERANS BOULEVARD
Mailing Address - Street 2:
Mailing Address - City:BIG SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:79720
Mailing Address - Country:US
Mailing Address - Phone:432-263-7361
Mailing Address - Fax:432-268-5087
Practice Address - Street 1:300 VETERANS BOULEVARD
Practice Address - Street 2:
Practice Address - City:BIG SPRING
Practice Address - State:TX
Practice Address - Zip Code:79720
Practice Address - Country:US
Practice Address - Phone:432-263-7361
Practice Address - Fax:432-268-5087
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2014-03-11
Deactivation Date:2007-07-17
Deactivation Code:
Reactivation Date:2014-02-24
Provider Licenses
StateLicense IDTaxonomies
ORL41571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIN21780001Medicare ID - Type Unspecified