Healthcare Provider Details

I. General information

NPI: 1639332018
Provider Name (Legal Business Name): SHARON ELAINE CUPLER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2008
Last Update Date: 11/05/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27453 CASHFORD CIR SUITE 101
WESLEY CHAPEL FL
33544-6942
US

IV. Provider business mailing address

7311 MELOGOLD CIR
LAND O LAKES FL
34637-7409
US

V. Phone/Fax

Practice location:
  • Phone: 813-419-7792
  • Fax: 419-593-2318
Mailing address:
  • Phone: 813-419-7792
  • Fax: 419-593-2318

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberSW7781
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberSW7781
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberSW7781
License Number State
# 4
Primary TaxonomyN
Taxonomy Code102L00000X
TaxonomyPsychoanalyst
License NumberSW7781
License Number StateFL
# 5
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW7781F
License Number StateFL
# 6
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberSW7781
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: