Provider Demographics
NPI:1982747929
Name:STRAND, SHARON DIANS (MSW, ACSW, LCSW-C)
Entity type:Individual
Prefix:MS
First Name:SHARON
Middle Name:DIANS
Last Name:STRAND
Suffix:
Gender:F
Credentials:MSW, ACSW, LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15232 RED CLOVER DR
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20853-1644
Mailing Address - Country:US
Mailing Address - Phone:301-871-3845
Mailing Address - Fax:301-871-3845
Practice Address - Street 1:15232 RED CLOVER DR
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20853-1644
Practice Address - Country:US
Practice Address - Phone:301-871-3845
Practice Address - Fax:301-871-3845
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-15
Last Update Date:2009-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD035991041C0700X
DCLC3022071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD752051400Medicaid
MDG01915Medicare PIN
MDG01915S01Medicare ID - Type UnspecifiedMEDICARE NUMBER