Provider Demographics
NPI:1437340981
Name:KIRKPATRICK, SHARON (LCSW)
Entity Type:Individual
Prefix:MS
First Name:SHARON
Middle Name:
Last Name:KIRKPATRICK
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 1:7720 JEANNETTE ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70118-4066
Mailing Address - Country:US
Mailing Address - Phone:504-458-9094
Mailing Address - Fax:
Practice Address - Street 1:716 ADAMS ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70118-3931
Practice Address - Country:US
Practice Address - Phone:504-866-6333
Practice Address - Fax:504-910-7595
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-08
Last Update Date:2014-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA332172Medicare PIN