Provider Demographics
NPI:1265206460
Name:MCGEE, SHARON ANDREA (LMSW)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:ANDREA
Last Name:MCGEE
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:184 TUNXIS AVE
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06002-1710
Mailing Address - Country:US
Mailing Address - Phone:860-306-0887
Mailing Address - Fax:
Practice Address - Street 1:198 FORT PLEASANT AVE
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01108-1591
Practice Address - Country:US
Practice Address - Phone:413-846-0426
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-08
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X
CT78851041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical