Provider Demographics
NPI:1235229170
Name:ZAFFARESE-DIPPOLD, SHARON (PHD, LCSW-R, LCSW, L)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:
Last Name:ZAFFARESE-DIPPOLD
Suffix:
Gender:F
Credentials:PHD, LCSW-R, LCSW, L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 783
Mailing Address - Street 2:
Mailing Address - City:SAINT MARYS
Mailing Address - State:PA
Mailing Address - Zip Code:15857-0783
Mailing Address - Country:US
Mailing Address - Phone:814-834-4016
Mailing Address - Fax:814-834-1309
Practice Address - Street 1:105 N. MICHAEL ST. SUITE 101
Practice Address - Street 2:
Practice Address - City:SAINT MARYS
Practice Address - State:PA
Practice Address - Zip Code:15857-1327
Practice Address - Country:US
Practice Address - Phone:814-834-4016
Practice Address - Fax:814-834-1309
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2022-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY069192- R1041C0700X
PACW0209681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical