Provider Demographics
NPI:1467405621
Name:LITWIN, SHARON L (LCSW)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:L
Last Name:LITWIN
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 1:6426 FAIRWEATHER DR
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99518-2207
Mailing Address - Country:US
Mailing Address - Phone:907-351-0174
Mailing Address - Fax:
Practice Address - Street 1:6426 FAIRWEATHER DR
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99518-2207
Practice Address - Country:US
Practice Address - Phone:907-351-0174
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-18
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK5021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
AK8EL996Medicare PIN
AK8ED458Medicare PIN
AK8EL995Medicare PIN
AK8EL997Medicare PIN
AK8EL994Medicare PIN
AK8EL993Medicare PIN
AK8EL992Medicare PIN