Provider Demographics
NPI:1821055245
Name:ANDERSON, SHARON A (MSW, LIMHP)
Entity Type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:A
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:MSW, LIMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12020 SHAMROCK PLZ
Mailing Address - Street 2:SUITE 200
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68154-3537
Mailing Address - Country:US
Mailing Address - Phone:402-778-5007
Mailing Address - Fax:402-403-4721
Practice Address - Street 1:12020 SHAMROCK PLZ
Practice Address - Street 2:SUITE 200
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68154-3537
Practice Address - Country:US
Practice Address - Phone:402-778-5007
Practice Address - Fax:402-403-4721
Is Sole Proprietor?:No
Enumeration Date:2006-04-28
Last Update Date:2012-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE9651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical