Provider Demographics
NPI:1831207851
Name:LOESCHEN, SHARON L (LCSW)
Entity type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:L
Last Name:LOESCHEN
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 1:2117 SHIPWAY AVE
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90815-3554
Mailing Address - Country:US
Mailing Address - Phone:562-596-0837
Mailing Address - Fax:562-430-2505
Practice Address - Street 1:5500 E ATHERTON ST STE 416
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90815-4023
Practice Address - Country:US
Practice Address - Phone:562-493-1496
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA83571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical