Healthcare Provider Details

I. General information

NPI: 1326179771
Provider Name (Legal Business Name): SHARON A. BARGER PH.D., LCSW LPC SAC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/08/2007
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6629 UNIVERSITY AVE SUITE 209
MIDDLETON WI
53562-3037
US

IV. Provider business mailing address

6629 UNIVERSITY AVE SUITE 209
MIDDLETON WI
53562-3037
US

V. Phone/Fax

Practice location:
  • Phone: 608-833-5880
  • Fax: 608-829-3787
Mailing address:
  • Phone: 608-833-5880
  • Fax: 608-829-3787

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number12077-131
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number308-125
License Number StateWI
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number2583-123
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: