1689972176 NPI number — MRS. SHARON ELISE PRAGER MA, LCSW

Table of content: MRS. SHARON ELISE PRAGER MA, LCSW (NPI 1689972176)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1689972176 NPI number — MRS. SHARON ELISE PRAGER MA, LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PRAGER
Provider First Name:
SHARON
Provider Middle Name:
ELISE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MA, LCSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1689972176
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/01/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
155 N MAIN ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LIBERTY
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
12754-1864
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
631-831-2271
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
155 N MAIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LIBERTY
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12754
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
631-831-2271
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/07/2011

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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