Provider Demographics
NPI:1871043463
Name:COHEN, SHARON SANDERS (LCSW-R)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:SANDERS
Last Name:COHEN
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:SHARON
Other - Middle Name:JANA
Other - Last Name:SANDERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:60 ACADEMY RD
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12208-3103
Mailing Address - Country:US
Mailing Address - Phone:518-292-5498
Mailing Address - Fax:518-694-5019
Practice Address - Street 1:60 ACADEMY RD
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12208-3103
Practice Address - Country:US
Practice Address - Phone:518-292-5498
Practice Address - Fax:518-694-5019
Is Sole Proprietor?:No
Enumeration Date:2016-10-07
Last Update Date:2016-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR073754-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical