Provider Demographics
NPI:1558380352
Name:WANG, SHARON B (LCSW)
Entity Type:Individual
Prefix:MS
First Name:SHARON
Middle Name:B
Last Name:WANG
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1620 AVENUE I
Mailing Address - Street 2:APT. 604
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-3050
Mailing Address - Country:US
Mailing Address - Phone:718-377-4030
Mailing Address - Fax:718-604-5698
Practice Address - Street 1:9413 FLATLANDS AVE
Practice Address - Street 2:SUITE 101W
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11236-3726
Practice Address - Country:US
Practice Address - Phone:917-837-6683
Practice Address - Fax:718-604-5698
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2010-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY04567-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical