Provider Demographics
NPI:1356373484
Name:MAHONEY, SHARON MARIE (MSW)
Entity type:Individual
Prefix:MS
First Name:SHARON
Middle Name:MARIE
Last Name:MAHONEY
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5003 PIER DR
Mailing Address - Street 2:
Mailing Address - City:GREENACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33463-2327
Mailing Address - Country:US
Mailing Address - Phone:561-357-8917
Mailing Address - Fax:
Practice Address - Street 1:7503 N. MILITARY TRAIL
Practice Address - Street 2:
Practice Address - City:WPB
Practice Address - State:FL
Practice Address - Zip Code:33410
Practice Address - Country:US
Practice Address - Phone:561-422-8262
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker