Provider Demographics
NPI:1629238043
Name:BEEBE, SHARLEEN ANN
Entity Type:Individual
Prefix:MS
First Name:SHARLEEN
Middle Name:ANN
Last Name:BEEBE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SHARLEEN
Other - Middle Name:
Other - Last Name:DASS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW
Mailing Address - Street 1:1000 MIDWAY DR
Mailing Address - Street 2:
Mailing Address - City:HARRINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19952-2448
Mailing Address - Country:US
Mailing Address - Phone:800-818-8680
Mailing Address - Fax:800-818-8680
Practice Address - Street 1:1000 MIDWAY DR
Practice Address - Street 2:
Practice Address - City:HARRINGTON
Practice Address - State:DE
Practice Address - Zip Code:19952
Practice Address - Country:US
Practice Address - Phone:302-994-2511
Practice Address - Fax:302-633-5396
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-10
Last Update Date:2018-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEQ1-00009411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical