Healthcare Provider Details

I. General information

NPI: 1295672186
Provider Name (Legal Business Name): KATHLEEN E SHARON-SCHNEPPLE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2670 DURHAM CHAPEL HILL BLVD
DURHAM NC
27707-2829
US

IV. Provider business mailing address

4221 HOLSTON DR
DURHAM NC
27704-5707
US

V. Phone/Fax

Practice location:
  • Phone: 919-251-9001
  • Fax:
Mailing address:
  • Phone: 919-442-8002
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberP020421
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: