Provider Demographics
NPI:1427796150
Name:KATZ, SHARON BROWN (MSW)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:BROWN
Last Name:KATZ
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:SHARON
Other - Middle Name:B
Other - Last Name:KATZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW
Mailing Address - Street 1:300 E 74TH ST APT 15E
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-3714
Mailing Address - Country:US
Mailing Address - Phone:215-622-5152
Mailing Address - Fax:
Practice Address - Street 1:300 E 74TH ST APT 15E
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-3714
Practice Address - Country:US
Practice Address - Phone:215-622-5152
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-23
Last Update Date:2022-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR019464-011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical