Provider Demographics
NPI:1124811906
Name:RICKS, SHARON LINDA (MA, CHW)
Entity type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:LINDA
Last Name:RICKS
Suffix:
Gender:F
Credentials:MA, CHW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 CONESTOGA DR
Mailing Address - Street 2:
Mailing Address - City:KYLE
Mailing Address - State:TX
Mailing Address - Zip Code:78640-2371
Mailing Address - Country:US
Mailing Address - Phone:470-506-1699
Mailing Address - Fax:
Practice Address - Street 1:410 CONESTOGA DR
Practice Address - Street 2:
Practice Address - City:KYLE
Practice Address - State:TX
Practice Address - Zip Code:78640-2371
Practice Address - Country:US
Practice Address - Phone:470-506-1699
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-26
Last Update Date:2025-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19177172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker