Healthcare Provider Details

I. General information

NPI: 1689746273
Provider Name (Legal Business Name): SHARON E. WINGET MSW, LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/15/2006
Last Update Date: 11/19/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1220 12TH STREET, SE SUITE 120
WASHINGTON DC
20003
US

IV. Provider business mailing address

1220 12TH ST SE SUITE 120
WASHINGTON DC
20003-3722
US

V. Phone/Fax

Practice location:
  • Phone: 202-715-7900
  • Fax: 202-544-2314
Mailing address:
  • Phone: 202-715-7900
  • Fax: 202-544-7314

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLC302380
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: