Provider Demographics
NPI:1770525321
Name:CUTTS, SHARON ELIZABETH (LCSW)
Entity type:Individual
Prefix:MS
First Name:SHARON
Middle Name:ELIZABETH
Last Name:CUTTS
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 1:80 GARDEN ST
Mailing Address - Street 2:
Mailing Address - City:WETHERSFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06109-3120
Mailing Address - Country:US
Mailing Address - Phone:860-529-9577
Mailing Address - Fax:860-529-7820
Practice Address - Street 1:80 GARDEN ST
Practice Address - Street 2:
Practice Address - City:WETHERSFIELD
Practice Address - State:CT
Practice Address - Zip Code:06109-3120
Practice Address - Country:US
Practice Address - Phone:860-529-9577
Practice Address - Fax:860-529-7820
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT25271041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT14000CT252702OtherANTHEM BC/BS ID