Healthcare Provider Details

I. General information

NPI: 1902358070
Provider Name (Legal Business Name): SHARON T DAVIS LCSW-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SHARON T. HOLLAND LCSW-C

II. Dates (important events)

Enumeration Date: 10/25/2016
Last Update Date: 07/19/2026
Certification Date: 07/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

516 N ROLLING RD STE 305
CATONSVILLE MD
21228-4142
US

IV. Provider business mailing address

9906 SHOSHONE CT
RANDALLSTOWN MD
21133-1700
US

V. Phone/Fax

Practice location:
  • Phone: 443-492-8557
  • Fax: 410-510-1505
Mailing address:
  • Phone: 443-492-8557
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number19875
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: