Healthcare Provider Details

I. General information

NPI: 1427911056
Provider Name (Legal Business Name): SARAH JEAN SHARP MSW, LGSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/09/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

659 BIELENBERG DR
WOODBURY MN
55125-1706
US

IV. Provider business mailing address

659 BIELENBERG DR
WOODBURY MN
55125-1706
US

V. Phone/Fax

Practice location:
  • Phone: 612-446-3355
  • Fax: 651-259-9770
Mailing address:
  • Phone: 612-446-3355
  • Fax: 651-259-9770

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number28870
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: