Provider Demographics
NPI:1861833972
Name:LANOUE, SHARON CAYO (LMSW)
Entity Type:Individual
Prefix:MS
First Name:SHARON
Middle Name:CAYO
Last Name:LANOUE
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13398 GREENLEAF LN
Mailing Address - Street 2:
Mailing Address - City:GRAND HAVEN
Mailing Address - State:MI
Mailing Address - Zip Code:49417-9453
Mailing Address - Country:US
Mailing Address - Phone:616-402-0108
Mailing Address - Fax:
Practice Address - Street 1:13398 GREENLEAF LN
Practice Address - Street 2:
Practice Address - City:GRAND HAVEN
Practice Address - State:MI
Practice Address - Zip Code:49417-9453
Practice Address - Country:US
Practice Address - Phone:616-402-0108
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-17
Last Update Date:2013-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801079834104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker