Provider Demographics
NPI:1376883249
Name:NANCE, SHARISE MARIE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:SHARISE
Middle Name:MARIE
Last Name:NANCE
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 1:10 DUFF RD STE 201
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15235-3209
Mailing Address - Country:US
Mailing Address - Phone:412-414-7782
Mailing Address - Fax:
Practice Address - Street 1:10 DUFF ROAD STE 201
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15234-1560
Practice Address - Country:US
Practice Address - Phone:412-414-7782
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-28
Last Update Date:2017-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0191531041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical