Provider Demographics
NPI:1992678049
Name:SHARP, ANTONIA GRACE (MSW, LGSW)
Entity type:Individual
Prefix:
First Name:ANTONIA
Middle Name:GRACE
Last Name:SHARP
Suffix:
Gender:X
Credentials:MSW, LGSW
Other - Prefix:
Other - First Name:TONY
Other - Middle Name:
Other - Last Name:SHARP
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW, LGSW
Mailing Address - Street 1:11010 PRAIRIE LAKES DR STE 350
Mailing Address - Street 2:
Mailing Address - City:EDEN PRAIRIE
Mailing Address - State:MN
Mailing Address - Zip Code:55344-3801
Mailing Address - Country:US
Mailing Address - Phone:952-746-2522
Mailing Address - Fax:952-746-0887
Practice Address - Street 1:11010 PRAIRIE LAKES DR STE 350
Practice Address - Street 2:
Practice Address - City:EDEN PRAIRIE
Practice Address - State:MN
Practice Address - Zip Code:55344-3801
Practice Address - Country:US
Practice Address - Phone:952-746-2522
Practice Address - Fax:952-746-0887
Is Sole Proprietor?:No
Enumeration Date:2025-09-25
Last Update Date:2025-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN331761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical