MEDICARE: SHARON L ENO MSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	LW00004633	WA

General Provider Information

NPI Number	:	1811054349
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARON L ENO MSW

Provider Business Mailing Address
First Line	:	1702 NE 179TH ST
Second Line	:	STE 203
City	:	SHORELINE
State	:	WA
Zip	:	98155
Country	:	US
Telephone Number	:	206-367-1640
Fax Number	:

Provider Business Practice Location Address
First Line	:	4649 SUNNYSIDE AVE N STE 203
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98103-6900
Country	:	US
Telephone Number	:	206-367-1640
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/03/2007
Last Update Date	:	07/21/2022

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