Provider Demographics
NPI:1568506871
Name:SHARKEY, DENNIS F (LCSW)
Entity Type:Individual
Prefix:
First Name:DENNIS
Middle Name:F
Last Name:SHARKEY
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08753-6829
Mailing Address - Country:US
Mailing Address - Phone:732-736-0065
Mailing Address - Fax:732-276-2381
Practice Address - Street 1:800 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08753-6829
Practice Address - Country:US
Practice Address - Phone:732-736-0065
Practice Address - Fax:732-276-2381
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC014298001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ44SC01429800OtherLCSW
NJ44SC01429800OtherLCSW