Provider Demographics
NPI:1417987629
Name:STERLING, SHARON (LCSW)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:
Last Name:STERLING
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 1:1467 W CALLE PUEBLO
Mailing Address - Street 2:
Mailing Address - City:GREEN VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85622-3217
Mailing Address - Country:US
Mailing Address - Phone:520-260-8316
Mailing Address - Fax:520-625-1598
Practice Address - Street 1:780 S PARK CENTRE AVE
Practice Address - Street 2:
Practice Address - City:GREEN VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85614-5127
Practice Address - Country:US
Practice Address - Phone:520-625-2273
Practice Address - Fax:520-625-1598
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2015-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLCSW100641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ736522Medicaid
AZ115765Medicare PIN