Provider Demographics
NPI:1669578621
Name:SAIA, SHARON SMITH (MSW)
Entity type:Individual
Prefix:MS
First Name:SHARON
Middle Name:SMITH
Last Name:SAIA
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 1:1188 ROSEBANK DRIVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43235
Mailing Address - Country:US
Mailing Address - Phone:614-848-3783
Mailing Address - Fax:
Practice Address - Street 1:5151 REED RD
Practice Address - Street 2:BLDG C SUITE 128 CENTRAL OHIO BEHAVIORAL MEDICINE INC
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43220
Practice Address - Country:US
Practice Address - Phone:614-538-8300
Practice Address - Fax:614-538-1656
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI45231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q61774Medicare UPIN
SASW30641Medicare ID - Type Unspecified