Provider Demographics
NPI:1083760300
Name:WHITTEMORE, SHARON FLEMING (MSSW)
Entity Type:Individual
Prefix:MS
First Name:SHARON
Middle Name:FLEMING
Last Name:WHITTEMORE
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 1:14 ROYCE RD
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01701-7814
Mailing Address - Country:US
Mailing Address - Phone:508-872-7798
Mailing Address - Fax:
Practice Address - Street 1:14 ROYCE RD
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01701-7814
Practice Address - Country:US
Practice Address - Phone:508-872-7798
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1033221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAP02979 - 80Medicare ID - Type UnspecifiedCLINICAL SOCIAL WORKER