Provider Demographics
NPI:1073607933
Name:KAPP, SHARON E (LCSW)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:E
Last Name:KAPP
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 1:110 N TENNESSEE AVE
Mailing Address - Street 2:
Mailing Address - City:LA FOLLETTE
Mailing Address - State:TN
Mailing Address - Zip Code:37766-2425
Mailing Address - Country:US
Mailing Address - Phone:423-562-7426
Mailing Address - Fax:423-562-4403
Practice Address - Street 1:110 N TENNESSEE AVE
Practice Address - Street 2:
Practice Address - City:LA FOLLETTE
Practice Address - State:TN
Practice Address - Zip Code:37766-2425
Practice Address - Country:US
Practice Address - Phone:423-562-7426
Practice Address - Fax:423-562-4403
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN44561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical