Provider Demographics
NPI:1700774908
Name:SHARPE, ANGELA A (LMSW)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:A
Last Name:SHARPE
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 1:122 ADAMS ST
Mailing Address - Street 2:
Mailing Address - City:STRATFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06615-6601
Mailing Address - Country:US
Mailing Address - Phone:914-649-3451
Mailing Address - Fax:
Practice Address - Street 1:122 ADAMS ST
Practice Address - Street 2:
Practice Address - City:STRATFORD
Practice Address - State:CT
Practice Address - Zip Code:06615-6601
Practice Address - Country:US
Practice Address - Phone:914-649-3451
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-25
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY111623-01104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker