Provider Demographics
NPI:1962365403
Name:EVERETT, SHARON (BA)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:
Last Name:EVERETT
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12200 TECH RD STE 330
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-1913
Mailing Address - Country:US
Mailing Address - Phone:301-572-6585
Mailing Address - Fax:
Practice Address - Street 1:12200 TECH RD STE 330
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-1913
Practice Address - Country:US
Practice Address - Phone:301-572-6585
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-12-03
Last Update Date:2025-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health