Provider Demographics
NPI:1588914865
Name:SHARMAN, REBECCA MARTIN (MSW, LCSW)
Entity type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:MARTIN
Last Name:SHARMAN
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:MS
Other - First Name:REBECCA
Other - Middle Name:ANN
Other - Last Name:MARTIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW, LCSW
Mailing Address - Street 1:7501 E MCDOWELL RD APT 2149
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85257-3579
Mailing Address - Country:US
Mailing Address - Phone:919-559-1258
Mailing Address - Fax:
Practice Address - Street 1:1107 E TONTO ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85034-4032
Practice Address - Country:US
Practice Address - Phone:602-241-6656
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-14
Last Update Date:2016-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ153041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical