Provider Demographics
NPI:1841576907
Name:BREMER, SHARON (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:
Last Name:BREMER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MISS
Other - First Name:SHARON
Other - Middle Name:
Other - Last Name:GROSSICH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:618 S IL ROUTE 31
Mailing Address - Street 2:SUITE #2
Mailing Address - City:MCHENRY
Mailing Address - State:IL
Mailing Address - Zip Code:60050-8273
Mailing Address - Country:US
Mailing Address - Phone:815-344-9443
Mailing Address - Fax:815-344-9445
Practice Address - Street 1:618 S IL ROUTE 31
Practice Address - Street 2:SUITE #2
Practice Address - City:MCHENRY
Practice Address - State:IL
Practice Address - Zip Code:60050-8273
Practice Address - Country:US
Practice Address - Phone:815-344-9443
Practice Address - Fax:815-344-9445
Is Sole Proprietor?:No
Enumeration Date:2011-11-02
Last Update Date:2016-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490052971041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical