Provider Demographics
NPI:1134286578
Name:SHAR, ANN MARGARET (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:ANN
Middle Name:MARGARET
Last Name:SHAR
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:ANN
Other - Middle Name:MARGARET
Other - Last Name:BAJKIEWICZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:36975 UTICA ROAD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:CLINTON TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48036
Mailing Address - Country:US
Mailing Address - Phone:586-226-3440
Mailing Address - Fax:586-226-3672
Practice Address - Street 1:124 W GATES
Practice Address - Street 2:SUITE 103
Practice Address - City:ROMEO
Practice Address - State:MI
Practice Address - Zip Code:48065
Practice Address - Country:US
Practice Address - Phone:586-752-9696
Practice Address - Fax:586-752-9157
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010606881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical