Provider Demographics
NPI:1316137078
Name:RHODES, SHARON ANN (LCSW)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:ANN
Last Name:RHODES
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 1:1234 SAN DIEGUITO DR
Mailing Address - Street 2:
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-5115
Mailing Address - Country:US
Mailing Address - Phone:760-436-9437
Mailing Address - Fax:760-634-3012
Practice Address - Street 1:3135 DOLPHIN ALY
Practice Address - Street 2:BLDG. 261
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92136-5185
Practice Address - Country:US
Practice Address - Phone:619-556-9338
Practice Address - Fax:619-556-9473
Is Sole Proprietor?:No
Enumeration Date:2007-07-30
Last Update Date:2007-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 45441041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical