Provider Demographics
NPI:1578682951
Name:FISHER, SHARON G (MSS,LCSW)
Entity Type:Individual
Prefix:MS
First Name:SHARON
Middle Name:G
Last Name:FISHER
Suffix:
Gender:F
Credentials:MSS,LCSW
Other - Prefix:MS
Other - First Name:SHARON
Other - Middle Name:G
Other - Last Name:FISHER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSS, LCSW
Mailing Address - Street 1:7 QUARRY LN
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19711-4810
Mailing Address - Country:US
Mailing Address - Phone:302-453-9632
Mailing Address - Fax:302-832-7313
Practice Address - Street 1:7 QUARRY LN
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19711-4810
Practice Address - Country:US
Practice Address - Phone:302-453-9632
Practice Address - Fax:302-832-7313
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEQ1-0000523101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health