Provider Demographics
NPI:1326895210
Name:SCHARN, KATHRYN R (LCSW)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:R
Last Name:SCHARN
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 1:78 MAIN ST STE 6
Mailing Address - Street 2:
Mailing Address - City:ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01810-3826
Mailing Address - Country:US
Mailing Address - Phone:978-912-0866
Mailing Address - Fax:
Practice Address - Street 1:78 MAIN ST STE 6
Practice Address - Street 2:
Practice Address - City:ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01810-3826
Practice Address - Country:US
Practice Address - Phone:978-912-0866
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-30
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA229796104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker