Provider Demographics
NPI:1619747847
Name:ERAZO, SHARON STACY (LMSW)
Entity Type:Individual
Prefix:MISS
First Name:SHARON
Middle Name:STACY
Last Name:ERAZO
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 1:6111 WILLOWBEND BLVD APT 108
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77096-5641
Mailing Address - Country:US
Mailing Address - Phone:832-614-5241
Mailing Address - Fax:
Practice Address - Street 1:11226 S WILCREST DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77099-4313
Practice Address - Country:US
Practice Address - Phone:281-977-7462
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-08
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX111755104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker