Provider Demographics
NPI:1144596073
Name:BERKOBIEN, SHARON RENEE' (LMSW, CAADC)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:RENEE'
Last Name:BERKOBIEN
Suffix:
Gender:F
Credentials:LMSW, CAADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1914 SCHUST RD
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48604-1616
Mailing Address - Country:US
Mailing Address - Phone:989-274-1026
Mailing Address - Fax:989-781-5422
Practice Address - Street 1:3400 S. WASHINGTON
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48601
Practice Address - Country:US
Practice Address - Phone:989-274-1026
Practice Address - Fax:989-781-5422
Is Sole Proprietor?:No
Enumeration Date:2012-03-26
Last Update Date:2020-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010849651041C0700X
MIC-02245101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical