Provider Demographics
NPI:1912291840
Name:TOMASZEWSKI, SHARON L (MSW-LISW-S)
Entity type:Individual
Prefix:MS
First Name:SHARON
Middle Name:L
Last Name:TOMASZEWSKI
Suffix:
Gender:F
Credentials:MSW-LISW-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1740 COOPER FOSTER PARK RD W
Mailing Address - Street 2:
Mailing Address - City:LORAIN
Mailing Address - State:OH
Mailing Address - Zip Code:44053-4201
Mailing Address - Country:US
Mailing Address - Phone:440-282-1383
Mailing Address - Fax:440-989-1265
Practice Address - Street 1:1740 COOPER FOSTER PARK RD W
Practice Address - Street 2:
Practice Address - City:LORAIN
Practice Address - State:OH
Practice Address - Zip Code:44053-4201
Practice Address - Country:US
Practice Address - Phone:440-282-1383
Practice Address - Fax:440-989-1265
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-08
Last Update Date:2011-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI-00009528 SUPV1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical