Provider Demographics
NPI:1306984513
Name:LEWIS, SHARRON SANDERS (LCSW)
Entity type:Individual
Prefix:MRS
First Name:SHARRON
Middle Name:SANDERS
Last Name:LEWIS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:402 W 8TH ST
Mailing Address - Street 2:
Mailing Address - City:DERIDDER
Mailing Address - State:LA
Mailing Address - Zip Code:70634-5508
Mailing Address - Country:US
Mailing Address - Phone:337-401-4686
Mailing Address - Fax:337-221-3054
Practice Address - Street 1:106 W PORT ST
Practice Address - Street 2:
Practice Address - City:DERIDDER
Practice Address - State:LA
Practice Address - Zip Code:70634-4040
Practice Address - Country:US
Practice Address - Phone:337-462-1641
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-01
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA82071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical