Provider Demographics
NPI:1740216209
Name:DELCONTE, SHARON ANNE (LCSW CASAC)
Entity Type:Individual
Prefix:MS
First Name:SHARON
Middle Name:ANNE
Last Name:DELCONTE
Suffix:
Gender:F
Credentials:LCSW CASAC
Other - Prefix:
Other - First Name:SHARON
Other - Middle Name:ANNE
Other - Last Name:DELCONTE HELMSTETTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7266 BUCKLEY RD
Mailing Address - Street 2:
Mailing Address - City:NORTH SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13212-2649
Mailing Address - Country:US
Mailing Address - Phone:315-458-0919
Mailing Address - Fax:315-458-0954
Practice Address - Street 1:7266 BUCKLEY RD
Practice Address - Street 2:
Practice Address - City:NORTH SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13212-2649
Practice Address - Country:US
Practice Address - Phone:315-458-0919
Practice Address - Fax:315-458-0954
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR02637911041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY56577BMedicare ID - Type Unspecified