Provider Demographics
NPI:1922647296
Name:STROUD, SHARIKA J (LCSWA)
Entity Type:Individual
Prefix:
First Name:SHARIKA
Middle Name:J
Last Name:STROUD
Suffix:
Gender:F
Credentials:LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10151 CANNARTI DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28273-3744
Mailing Address - Country:US
Mailing Address - Phone:704-835-8291
Mailing Address - Fax:
Practice Address - Street 1:10151 CANNARTI DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28273-3744
Practice Address - Country:US
Practice Address - Phone:704-835-8291
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-03
Last Update Date:2020-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0138781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical