Provider Demographics
NPI:1265914535
Name:SHARP, ELIZABETH PLANTZ (LICSW)
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:PLANTZ
Last Name:SHARP
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:MISS
Other - First Name:ELIZABETH
Other - Middle Name:CAROLINE
Other - Last Name:PLANTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:45 DANA RD
Mailing Address - Street 2:
Mailing Address - City:WELLESLEY
Mailing Address - State:MA
Mailing Address - Zip Code:02482-7043
Mailing Address - Country:US
Mailing Address - Phone:781-489-1953
Mailing Address - Fax:781-235-0308
Practice Address - Street 1:45 DANA RD
Practice Address - Street 2:
Practice Address - City:WELLESLEY
Practice Address - State:MA
Practice Address - Zip Code:02482-7043
Practice Address - Country:US
Practice Address - Phone:781-489-1953
Practice Address - Fax:781-235-0308
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-04
Last Update Date:2018-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1163171041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical