Provider Demographics
NPI:1447753025
Name:KIMBER, SHARON L (MSS, MLSP, LCSW)
Entity Type:Individual
Prefix:MS
First Name:SHARON
Middle Name:L
Last Name:KIMBER
Suffix:
Gender:F
Credentials:MSS, MLSP, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P. O. BOX 1364
Mailing Address - Street 2:45 N UNION AVE
Mailing Address - City:LANSDOWNE
Mailing Address - State:PA
Mailing Address - Zip Code:19050-9998
Mailing Address - Country:US
Mailing Address - Phone:267-980-6116
Mailing Address - Fax:
Practice Address - Street 1:133 HEATHER RD STE 205
Practice Address - Street 2:
Practice Address - City:BALA CYNWYD
Practice Address - State:PA
Practice Address - Zip Code:19004-3009
Practice Address - Country:US
Practice Address - Phone:215-544-5237
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-09
Last Update Date:2024-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEQ1-00016011041C0700X
PACW0200501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical