Provider Demographics
NPI:1336362987
Name:BRAZEAL, SHARON D (LCSW)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:D
Last Name:BRAZEAL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 KENOSIA AVE
Mailing Address - Street 2:
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06810-7395
Mailing Address - Country:US
Mailing Address - Phone:475-329-2686
Mailing Address - Fax:203-456-3161
Practice Address - Street 1:7 KENOSIA AVE
Practice Address - Street 2:
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810-7395
Practice Address - Country:US
Practice Address - Phone:475-329-2686
Practice Address - Fax:203-456-3161
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2023-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0063841041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical