Provider Demographics
NPI:1508867276
Name:WARREN, SHARYN E (LCSW)
Entity Type:Individual
Prefix:MS
First Name:SHARYN
Middle Name:E
Last Name:WARREN
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 1:975 WALNUT ST
Mailing Address - Street 2:SUITE 357
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511-4268
Mailing Address - Country:US
Mailing Address - Phone:919-303-7083
Mailing Address - Fax:919-467-3250
Practice Address - Street 1:975 WALNUT ST
Practice Address - Street 2:SUITE 357
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-4268
Practice Address - Country:US
Practice Address - Phone:919-467-3250
Practice Address - Fax:919-467-3250
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-03
Last Update Date:2007-07-08
Deactivation Date:2006-03-22
Deactivation Code:
Reactivation Date:2006-04-04
Provider Licenses
StateLicense IDTaxonomies
NCC0002921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical