Provider Demographics
NPI:1245426535
Name:MACADAM, SHARON LOUISE (LISW)
Entity Type:Individual
Prefix:MS
First Name:SHARON
Middle Name:LOUISE
Last Name:MACADAM
Suffix:
Gender:F
Credentials:LISW
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Other - Credentials:
Mailing Address - Street 1:1430 S HIGH ST
Mailing Address - Street 2:SHAKER CLINIC LLC, DBA OHIO CLINIC FOR PSYCHIATRY
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43207-1045
Mailing Address - Country:US
Mailing Address - Phone:614-444-7916
Mailing Address - Fax:614-444-7924
Practice Address - Street 1:1430 S HIGH ST
Practice Address - Street 2:SHAKER CLINIC LLC, DBA OHIO CLINIC FOR PSYCHIATRY
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43207-1045
Practice Address - Country:US
Practice Address - Phone:614-444-7916
Practice Address - Fax:614-444-7924
Is Sole Proprietor?:No
Enumeration Date:2007-09-20
Last Update Date:2007-09-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OHI00087021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical