Provider Demographics
NPI:1629347075
Name:SHARPE, VERNELL (P-LCSW)
Entity Type:Individual
Prefix:MS
First Name:VERNELL
Middle Name:
Last Name:SHARPE
Suffix:
Gender:F
Credentials:P-LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1207
Mailing Address - Street 2:
Mailing Address - City:WAKE FOREST
Mailing Address - State:NC
Mailing Address - Zip Code:27588-1207
Mailing Address - Country:US
Mailing Address - Phone:919-556-4440
Mailing Address - Fax:919-556-4455
Practice Address - Street 1:150 N WHITE ST STE A
Practice Address - Street 2:
Practice Address - City:WAKE FOREST
Practice Address - State:NC
Practice Address - Zip Code:27587-2600
Practice Address - Country:US
Practice Address - Phone:919-556-4440
Practice Address - Fax:919-556-4455
Is Sole Proprietor?:No
Enumeration Date:2011-12-14
Last Update Date:2011-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0067451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical