Healthcare Provider Details

I. General information

NPI: 1669878351
Provider Name (Legal Business Name): SHARON KAYE CUMMINGS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/07/2014
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1760 E BOSTON ST STE 102
GILBERT AZ
85295-6241
US

IV. Provider business mailing address

1760 E BOSTON ST STE 102
GILBERT AZ
85295-6241
US

V. Phone/Fax

Practice location:
  • Phone: 480-649-6499
  • Fax:
Mailing address:
  • Phone: 480-649-6499
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberLCSW-18368
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: