Provider Demographics
NPI:1639637598
Name:SHARMA, MANSI SHOURIE (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:MANSI
Middle Name:SHOURIE
Last Name:SHARMA
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 1:1111 BENTGRASS DR
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75036-3907
Mailing Address - Country:US
Mailing Address - Phone:952-255-9047
Mailing Address - Fax:
Practice Address - Street 1:1111 BENTGRASS DR
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75036-3907
Practice Address - Country:US
Practice Address - Phone:952-255-9047
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-08
Last Update Date:2019-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No171M00000XOther Service ProvidersCase Manager/Care Coordinator