Provider Demographics
NPI:1508513557
Name:WORTH, SHARON KRISTINE (LMSW)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:KRISTINE
Last Name:WORTH
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16294 27 1/2 MILE RD
Mailing Address - Street 2:
Mailing Address - City:ALBION
Mailing Address - State:MI
Mailing Address - Zip Code:49224-9457
Mailing Address - Country:US
Mailing Address - Phone:517-494-9651
Mailing Address - Fax:
Practice Address - Street 1:16294 27 1/2 MILE RD
Practice Address - Street 2:
Practice Address - City:ALBION
Practice Address - State:MI
Practice Address - Zip Code:49224-9457
Practice Address - Country:US
Practice Address - Phone:517-494-9651
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-09
Last Update Date:2022-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68011139201041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical