Healthcare Provider Details

I. General information

NPI: 1619285665
Provider Name (Legal Business Name): SHARON SYKES LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/23/2010
Last Update Date: 09/23/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5023 STATE ROUTE 40
ARGYLE NY
12809-7798
US

IV. Provider business mailing address

5023 STATE ROUTE 40
ARGYLE NY
12809
US

V. Phone/Fax

Practice location:
  • Phone: 518-638-8243
  • Fax: 518-638-6075
Mailing address:
  • Phone: 518-638-8243
  • Fax: 518-638-6075

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number074092-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: