Provider Demographics
NPI:1992983852
Name:WILLANS, SHARON M (LCSW)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:M
Last Name:WILLANS
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 1:2261 PYRAMID WAY STE 5
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89431-2160
Mailing Address - Country:US
Mailing Address - Phone:775-322-4650
Mailing Address - Fax:775-322-3137
Practice Address - Street 1:2261 PYRAMID WAY STE 5
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89431-2160
Practice Address - Country:US
Practice Address - Phone:775-322-4650
Practice Address - Fax:775-322-3127
Is Sole Proprietor?:No
Enumeration Date:2008-02-03
Last Update Date:2020-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV00674-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical