Provider Demographics
NPI:1114150265
Name:CARPENTER, SHARON L (CLINICASOCIAL WORKER)
Entity Type:Individual
Prefix:MS
First Name:SHARON
Middle Name:L
Last Name:CARPENTER
Suffix:
Gender:F
Credentials:CLINICASOCIAL WORKER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1617 ELM ST # 2
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-5449
Mailing Address - Country:US
Mailing Address - Phone:724-787-7496
Mailing Address - Fax:
Practice Address - Street 1:140 N BEESON AVE
Practice Address - Street 2:405
Practice Address - City:UNIONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15401-2937
Practice Address - Country:US
Practice Address - Phone:724-787-7496
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-24
Last Update Date:2012-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0157911041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical