Provider Demographics
NPI:1962606434
Name:LASKOWSKI, SHARON ANN (LCSW)
Entity type:Individual
Prefix:MS
First Name:SHARON
Middle Name:ANN
Last Name:LASKOWSKI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:SHARON
Other - Middle Name:STERANSKY
Other - Last Name:O'CONNOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW, LCSW
Mailing Address - Street 1:228 WATKINS ST
Mailing Address - Street 2:
Mailing Address - City:SWOYERSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18704-3013
Mailing Address - Country:US
Mailing Address - Phone:570-690-6964
Mailing Address - Fax:
Practice Address - Street 1:230 WYOMING AVE
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:PA
Practice Address - Zip Code:18704-3535
Practice Address - Country:US
Practice Address - Phone:570-690-6964
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-11
Last Update Date:2012-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW007306L1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical