Provider Demographics
NPI:1588743918
Name:DENNETT, SHARON WILLIAMS (MSW)
Entity type:Individual
Prefix:MS
First Name:SHARON
Middle Name:WILLIAMS
Last Name:DENNETT
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 CARMICHAEL ST
Mailing Address - Street 2:
Mailing Address - City:ESSEX JCT
Mailing Address - State:VT
Mailing Address - Zip Code:05452-3229
Mailing Address - Country:US
Mailing Address - Phone:802-879-0540
Mailing Address - Fax:802-872-8222
Practice Address - Street 1:8 CARMICHAEL ST
Practice Address - Street 2:
Practice Address - City:ESSEX JCT
Practice Address - State:VT
Practice Address - Zip Code:05452-3229
Practice Address - Country:US
Practice Address - Phone:802-879-0540
Practice Address - Fax:802-872-8222
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT089-00003611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical