Provider Demographics
NPI:1285431908
Name:ZIMMERMAN, SHARON E (LCSW)
Entity type:Individual
Prefix:MS
First Name:SHARON
Middle Name:E
Last Name:ZIMMERMAN
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 JEFFERSON ST STE 3
Mailing Address - Street 2:
Mailing Address - City:MONTICELLO
Mailing Address - State:NY
Mailing Address - Zip Code:12701-1131
Mailing Address - Country:US
Mailing Address - Phone:845-794-7700
Mailing Address - Fax:
Practice Address - Street 1:60 JEFFERSON ST STE 3
Practice Address - Street 2:
Practice Address - City:MONTICELLO
Practice Address - State:NY
Practice Address - Zip Code:12701-1131
Practice Address - Country:US
Practice Address - Phone:845-794-7700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-28
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0743671041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical