Provider Demographics
NPI:1710038179
Name:SCHWARTZ, SHARON (LICSW)
Entity Type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:88A ELM ST
Mailing Address - Street 2:
Mailing Address - City:HOPKINTON
Mailing Address - State:MA
Mailing Address - Zip Code:01748-1675
Mailing Address - Country:US
Mailing Address - Phone:508-435-5580
Mailing Address - Fax:508-460-9277
Practice Address - Street 1:88A ELM ST
Practice Address - Street 2:
Practice Address - City:HOPKINTON
Practice Address - State:MA
Practice Address - Zip Code:01748-1675
Practice Address - Country:US
Practice Address - Phone:508-435-5580
Practice Address - Fax:508-460-9277
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1033941041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAPO2617OtherBLUECROSS BLUESHIELD IDEN