Provider Demographics
NPI:1851434674
Name:FOLEY, SHARON A (LICSW)
Entity Type:Individual
Prefix:MS
First Name:SHARON
Middle Name:A
Last Name:FOLEY
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 1:22 MEADOWSWEET TRL
Mailing Address - Street 2:
Mailing Address - City:ATTLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02703-6554
Mailing Address - Country:US
Mailing Address - Phone:508-222-8795
Mailing Address - Fax:508-222-9795
Practice Address - Street 1:22 MEADOWSWEET TRL
Practice Address - Street 2:
Practice Address - City:ATTLEBORO
Practice Address - State:MA
Practice Address - Zip Code:02703-6554
Practice Address - Country:US
Practice Address - Phone:508-222-8795
Practice Address - Fax:508-222-9795
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10220261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAFO-P20068Medicare ID - Type Unspecified