Provider Demographics
NPI:1366598930
Name:GERBRACHT, SHARON A (LCSW)
Entity type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:A
Last Name:GERBRACHT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:SHARON
Other - Middle Name:A
Other - Last Name:ACKLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:2226 PARKER BLVD
Mailing Address - Street 2:
Mailing Address - City:TONAWANDA
Mailing Address - State:NY
Mailing Address - Zip Code:14150-7212
Mailing Address - Country:US
Mailing Address - Phone:716-544-8342
Mailing Address - Fax:
Practice Address - Street 1:5820 MAIN STREET SUIT 610
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221
Practice Address - Country:US
Practice Address - Phone:716-544-8342
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-26
Last Update Date:2024-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY073008-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical