Provider Demographics
NPI:1326179771
Name:BARGER, SHARON A (PHD, LCSW LPC SAC)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:A
Last Name:BARGER
Suffix:
Gender:F
Credentials:PHD, LCSW LPC SAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6629 UNIVERSITY AVE
Mailing Address - Street 2:SUITE 209
Mailing Address - City:MIDDLETON
Mailing Address - State:WI
Mailing Address - Zip Code:53562-3037
Mailing Address - Country:US
Mailing Address - Phone:608-833-5880
Mailing Address - Fax:608-829-3787
Practice Address - Street 1:6629 UNIVERSITY AVE
Practice Address - Street 2:SUITE 209
Practice Address - City:MIDDLETON
Practice Address - State:WI
Practice Address - Zip Code:53562-3037
Practice Address - Country:US
Practice Address - Phone:608-833-5880
Practice Address - Fax:608-829-3787
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI308-125101YP2500X
WI12077-131101YA0400X
WI2583-1231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI39268100Medicaid
WI1326179771Medicaid