Provider Demographics
NPI:1548464985
Name:SHARON E. COOPER, LCSW, LLC
Entity type:Organization
Organization Name:SHARON E. COOPER, LCSW, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER
Authorized Official - Prefix:MS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:COOPER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:302-454-8010
Mailing Address - Street 1:168 ELKTON RD
Mailing Address - Street 2:SUITE 208
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19711-7933
Mailing Address - Country:US
Mailing Address - Phone:302-454-8010
Mailing Address - Fax:302-454-8026
Practice Address - Street 1:168 ELKTON RD
Practice Address - Street 2:SUITE 208
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19711-7933
Practice Address - Country:US
Practice Address - Phone:302-454-8010
Practice Address - Fax:302-454-8026
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEQ1-00001551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE633719Medicare ID - Type Unspecified