Provider Demographics
NPI:1275587529
Name:STEVENS, SHARON ANN (LSCSW)
Entity Type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:ANN
Last Name:STEVENS
Suffix:
Gender:F
Credentials:LSCSW
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 952
Mailing Address - Street 2:105 EAST KANSAS - CLIENT CENTERED COUNSELING
Mailing Address - City:MCPHERSON
Mailing Address - State:KS
Mailing Address - Zip Code:67460-4826
Mailing Address - Country:US
Mailing Address - Phone:620-241-2300
Mailing Address - Fax:620-241-1813
Practice Address - Street 1:105 EAST KANSAS
Practice Address - Street 2:CLIENT CENTERED COUNSELING
Practice Address - City:MCPHERSON
Practice Address - State:KS
Practice Address - Zip Code:67460-4826
Practice Address - Country:US
Practice Address - Phone:620-241-2300
Practice Address - Fax:620-241-1813
Is Sole Proprietor?:No
Enumeration Date:2006-05-20
Last Update Date:2009-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS3389104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker