Provider Demographics
NPI:1952800146
Name:KANE, SCHARRON (LSW)
Entity Type:Individual
Prefix:
First Name:SCHARRON
Middle Name:
Last Name:KANE
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3736 KETCH RUN
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43219-3174
Mailing Address - Country:US
Mailing Address - Phone:614-592-0465
Mailing Address - Fax:
Practice Address - Street 1:3736 KETCH RUN
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43219-3174
Practice Address - Country:US
Practice Address - Phone:614-592-0465
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-02
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0028567104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker