Provider Demographics
NPI:1053357558
Name:MICHAELSON, SHARMAN COHEN (LCSW)
Entity type:Individual
Prefix:MS
First Name:SHARMAN
Middle Name:COHEN
Last Name:MICHAELSON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:SHARMAN
Other - Middle Name:COHEN
Other - Last Name:MICHAELSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:709 WESTMINSTER DR
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410-4629
Mailing Address - Country:US
Mailing Address - Phone:336-299-5788
Mailing Address - Fax:336-283-0034
Practice Address - Street 1:604 GREEN VALLEY RD
Practice Address - Street 2:SUITE 400
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27408-7728
Practice Address - Country:US
Practice Address - Phone:336-314-2221
Practice Address - Fax:336-283-0034
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0021021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical