Provider Demographics
NPI:1417618331
Name:SWABY, SHARON R (LCSW)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:R
Last Name:SWABY
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 1:5975 W SUNRISE BLVD STE 114
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33313-6801
Mailing Address - Country:US
Mailing Address - Phone:954-400-7394
Mailing Address - Fax:
Practice Address - Street 1:5975 W SUNRISE BLVD STE 114
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33313-6801
Practice Address - Country:US
Practice Address - Phone:954-400-7394
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-03
Last Update Date:2022-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW129031041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical