Provider Demographics
NPI:1336784768
Name:ROTHMAN, SHARON (LCSW)
Entity type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:
Last Name:ROTHMAN
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 1:7290 KINGHURST DRIVE
Mailing Address - Street 2:#109
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33446-2981
Mailing Address - Country:US
Mailing Address - Phone:917-297-0612
Mailing Address - Fax:
Practice Address - Street 1:7290 KINGHURST DRIVE
Practice Address - Street 2:#109
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33446-2981
Practice Address - Country:US
Practice Address - Phone:917-297-0612
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-08
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL170981041C0700X
NY0870741041C0700X
FLSW170981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical