Provider Demographics
NPI:1396525184
Name:CONNERS, SHARON MARIE (ASW)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:MARIE
Last Name:CONNERS
Suffix:
Gender:F
Credentials:ASW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 ELLIS CIR
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-9571
Mailing Address - Country:US
Mailing Address - Phone:916-337-3181
Mailing Address - Fax:
Practice Address - Street 1:601 UNIVERSITY AVE STE 280
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-6745
Practice Address - Country:US
Practice Address - Phone:916-668-4903
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-29
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1192331041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical