Provider Demographics
NPI:1134403553
Name:SHARROW, CORNELIA F (LCSW)
Entity type:Individual
Prefix:MS
First Name:CORNELIA
Middle Name:F
Last Name:SHARROW
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:LEIGH
Other - Middle Name:
Other - Last Name:SHARROW
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:17 SOUTH HIGHLAND ST.
Mailing Address - Street 2:
Mailing Address - City:WEST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06119
Mailing Address - Country:US
Mailing Address - Phone:860-586-7088
Mailing Address - Fax:
Practice Address - Street 1:17 SOUTH HIGHLAND ST
Practice Address - Street 2:
Practice Address - City:WEST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06119
Practice Address - Country:US
Practice Address - Phone:860-586-7088
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-04
Last Update Date:2014-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0002561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical