Provider Demographics
NPI:1083804629
Name:SCHARF, DONALD ALAN (LCSW)
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:ALAN
Last Name:SCHARF
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 221161
Mailing Address - Street 2:US POST OFICE REMCON CIRCLE
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79913-4161
Mailing Address - Country:US
Mailing Address - Phone:915-538-9816
Mailing Address - Fax:915-249-3821
Practice Address - Street 1:6501 BOEING DR
Practice Address - Street 2:STE. J1
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79925-1047
Practice Address - Country:US
Practice Address - Phone:915-538-9816
Practice Address - Fax:915-249-3821
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-30
Last Update Date:2013-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX393011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX39301OtherTEXAS LICENCE NUMBER