Provider Demographics
NPI:1447326525
Name:LOCKLEAR, SHARON ELIZABETH (PHD, MSW, LCSW, ACSW)
Entity type:Individual
Prefix:DR
First Name:SHARON
Middle Name:ELIZABETH
Last Name:LOCKLEAR
Suffix:
Gender:F
Credentials:PHD, MSW, LCSW, ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 FARMERS RD
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28311-2950
Mailing Address - Country:US
Mailing Address - Phone:910-527-2148
Mailing Address - Fax:
Practice Address - Street 1:107 FARMERS RD
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28311-2950
Practice Address - Country:US
Practice Address - Phone:910-527-2148
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-28
Last Update Date:2014-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK26351041C0700X
NCC0022641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical