Provider Demographics
NPI:1174826762
Name:SCHMIDT, SHARON DIANNE (MSW/LSW)
Entity Type:Individual
Prefix:MISS
First Name:SHARON
Middle Name:DIANNE
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:MSW/LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3214 E MARIE CT
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99223-7754
Mailing Address - Country:US
Mailing Address - Phone:509-869-3997
Mailing Address - Fax:
Practice Address - Street 1:3214 E MARIE CT
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99223-7754
Practice Address - Country:US
Practice Address - Phone:509-869-3997
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-21
Last Update Date:2023-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW000097021041C0700X, 104100000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2033506Medicaid