Provider Demographics
NPI:1891022950
Name:SMITH, SHARON GARLAND (LCSW)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:GARLAND
Last Name:SMITH
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:SHARON
Other - Middle Name:MARIE
Other - Last Name:GARLAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:1449 CASHTOWN RD
Mailing Address - Street 2:
Mailing Address - City:BREMEN
Mailing Address - State:GA
Mailing Address - Zip Code:30110-4006
Mailing Address - Country:US
Mailing Address - Phone:770-537-2367
Mailing Address - Fax:770-537-1203
Practice Address - Street 1:1449 CASHTOWN RD
Practice Address - Street 2:
Practice Address - City:BREMEN
Practice Address - State:GA
Practice Address - Zip Code:30110-4006
Practice Address - Country:US
Practice Address - Phone:770-537-2367
Practice Address - Fax:770-537-1203
Is Sole Proprietor?:No
Enumeration Date:2009-11-11
Last Update Date:2013-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0048881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical