Provider Demographics
NPI:1639496193
Name:PEARCE, SHARON LEE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:SHARON
Middle Name:LEE
Last Name:PEARCE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:2212 PRIMROSE DR
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75082-3300
Mailing Address - Country:US
Mailing Address - Phone:214-727-6540
Mailing Address - Fax:214-242-8039
Practice Address - Street 1:1701 GATEWAY BLVD
Practice Address - Street 2:465
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-3572
Practice Address - Country:US
Practice Address - Phone:214-727-6540
Practice Address - Fax:214-242-8039
Is Sole Proprietor?:No
Enumeration Date:2010-04-23
Last Update Date:2012-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX307591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical