Healthcare Provider Details

I. General information

NPI: 1023040375
Provider Name (Legal Business Name): SHARON ANN SIMON MSW, LISW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3620 N HIGH ST STE 303
COLUMBUS OH
43214-3611
US

IV. Provider business mailing address

3620 N HIGH ST STE 303
COLUMBUS OH
43214-3611
US

V. Phone/Fax

Practice location:
  • Phone: 614-263-0101
  • Fax: 614-237-8482
Mailing address:
  • Phone: 614-263-0101
  • Fax: 614-237-8482

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberI1308
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: