Provider Demographics
NPI:1235524067
Name:O'HARE, SINEAD (LCSW)
Entity Type:Individual
Prefix:
First Name:SINEAD
Middle Name:
Last Name:O'HARE
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 1:1030 GREEN HOLLY RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH ABINGTON TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:18411-9458
Mailing Address - Country:US
Mailing Address - Phone:352-702-1336
Mailing Address - Fax:352-315-7587
Practice Address - Street 1:41 N MAIN ST
Practice Address - Street 2:
Practice Address - City:CARBONDALE
Practice Address - State:PA
Practice Address - Zip Code:18407-2357
Practice Address - Country:US
Practice Address - Phone:570-447-1052
Practice Address - Fax:570-961-3364
Is Sole Proprietor?:No
Enumeration Date:2015-03-30
Last Update Date:2021-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW 126481041C0700X
1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical