Provider Demographics
NPI:1275856858
Name:SCIFRES, SHARON LOVE (LCSW, ACSW)
Entity Type:Individual
Prefix:MS
First Name:SHARON
Middle Name:LOVE
Last Name:SCIFRES
Suffix:
Gender:F
Credentials:LCSW, ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1316 VICTORIA DR
Mailing Address - Street 2:
Mailing Address - City:NACOGDOCHES
Mailing Address - State:TX
Mailing Address - Zip Code:75965-3060
Mailing Address - Country:US
Mailing Address - Phone:936-569-6228
Mailing Address - Fax:936-462-9662
Practice Address - Street 1:2424 N PECAN ST
Practice Address - Street 2:SUITE 100
Practice Address - City:NACOGDOCHES
Practice Address - State:TX
Practice Address - Zip Code:75965-3595
Practice Address - Country:US
Practice Address - Phone:936-569-6228
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-10
Last Update Date:2010-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXSW242671041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical