Provider Demographics
NPI:1689617870
Name:DUNBAR, SHARON TAYLOR (LCSW)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:TAYLOR
Last Name:DUNBAR
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4414 N ACCESS RD
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:34224-9334
Mailing Address - Country:US
Mailing Address - Phone:941-473-2400
Mailing Address - Fax:941-473-7828
Practice Address - Street 1:4414 N ACCESS RD
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:FL
Practice Address - Zip Code:34224-9334
Practice Address - Country:US
Practice Address - Phone:941-473-2400
Practice Address - Fax:941-473-7828
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW68561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
E8698Medicare ID - Type Unspecified