Provider Demographics
NPI:1578643458
Name:DOSS, SHARON LYNN (LBSW)
Entity type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:LYNN
Last Name:DOSS
Suffix:
Gender:F
Credentials:LBSW
Other - Prefix:MS
Other - First Name:SHARON
Other - Middle Name:LYNN
Other - Last Name:JOSEPH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LBSW
Mailing Address - Street 1:1014 ALBERT
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:NM
Mailing Address - Zip Code:88220
Mailing Address - Country:US
Mailing Address - Phone:505-234-2070
Mailing Address - Fax:
Practice Address - Street 1:601 SOUTH 6TH STREET
Practice Address - Street 2:
Practice Address - City:LOVING
Practice Address - State:NM
Practice Address - Zip Code:88256
Practice Address - Country:US
Practice Address - Phone:505-745-2000
Practice Address - Fax:505-745-2052
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMB3210104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMLBSWOtherSTATE OF NEW BOARD OF LIC