Provider Demographics
NPI:1174674311
Name:DEGUEVARA, SHARON R (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:R
Last Name:DEGUEVARA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 W DRY CREEK CIR STE 207
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-8082
Mailing Address - Country:US
Mailing Address - Phone:303-345-1157
Mailing Address - Fax:303-993-4770
Practice Address - Street 1:8 W DRY CREEK CIR STE 207
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-8082
Practice Address - Country:US
Practice Address - Phone:303-345-1157
Practice Address - Fax:303-993-4770
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-15
Last Update Date:2020-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCO-1151041C0700X
CO1151041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical