Provider Demographics
NPI:1518787829
Name:RHAMES, SHARON Y (LSWAIC)
Entity type:Individual
Prefix:MISS
First Name:SHARON
Middle Name:Y
Last Name:RHAMES
Suffix:
Gender:F
Credentials:LSWAIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11400 AIRPORT RD STE 200
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98204-8711
Mailing Address - Country:US
Mailing Address - Phone:425-475-0554
Mailing Address - Fax:
Practice Address - Street 1:11400 AIRPORT RD STE 200
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98204-8711
Practice Address - Country:US
Practice Address - Phone:425-475-0554
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-11
Last Update Date:2024-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC61012201041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical