Provider Demographics
NPI:1083714596
Name:COOPER, SHARON E (MSSW)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:E
Last Name:COOPER
Suffix:
Gender:F
Credentials:MSSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:168 ELKTON RD
Mailing Address - Street 2:SUITE 208
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19711-7933
Mailing Address - Country:US
Mailing Address - Phone:302-454-8010
Mailing Address - Fax:302-454-8026
Practice Address - Street 1:168 ELKTON RD
Practice Address - Street 2:SUITE 208
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19711-7933
Practice Address - Country:US
Practice Address - Phone:302-454-8010
Practice Address - Fax:302-454-8026
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEQ1-00001551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical