Provider Demographics
NPI:1720496169
Name:SHARON M BARNES LCSW PLLC
Entity Type:Organization
Organization Name:SHARON M BARNES LCSW PLLC
Other - Org Name:THERAPIST FOR SENSITIVE AND GIFTED
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:M
Authorized Official - Last Name:BARNES
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:303-987-0346
Mailing Address - Street 1:8089 S LINCOLN ST
Mailing Address - Street 2:SUITE 203
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80122-2700
Mailing Address - Country:US
Mailing Address - Phone:303-987-0346
Mailing Address - Fax:
Practice Address - Street 1:8089 S LINCOLN ST
Practice Address - Street 2:SUITE 203
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80122-2700
Practice Address - Country:US
Practice Address - Phone:303-987-0346
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-29
Last Update Date:2015-12-28
Deactivation Date:2015-06-11
Deactivation Code:
Reactivation Date:2015-09-22
Provider Licenses
StateLicense IDTaxonomies
COCSW-009912631041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
COCOB4427Medicare PIN