Provider Demographics
NPI:1528149606
Name:TROXELL, SHARON KAY (MASTER SOCIAL WORK)
Entity type:Individual
Prefix:MS
First Name:SHARON
Middle Name:KAY
Last Name:TROXELL
Suffix:
Gender:F
Credentials:MASTER SOCIAL WORK
Other - Prefix:
Other - First Name:SHARON
Other - Middle Name:
Other - Last Name:GREGORY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:240 N TILLOTSON AVE.
Mailing Address - Street 2:
Mailing Address - City:MUNCIE
Mailing Address - State:IN
Mailing Address - Zip Code:47304
Mailing Address - Country:US
Mailing Address - Phone:765-288-1928
Mailing Address - Fax:765-741-0359
Practice Address - Street 1:930 N 14TH ST
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:IN
Practice Address - Zip Code:47362-4311
Practice Address - Country:US
Practice Address - Phone:765-521-2450
Practice Address - Fax:765-593-6001
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2020-03-03
Deactivation Date:2010-08-19
Deactivation Code:
Reactivation Date:2012-02-27
Provider Licenses
StateLicense IDTaxonomies
IN34008792A1041C0700X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical