Provider Demographics
NPI:1881241263
Name:SHARP, CINDY JOYLENE (LICSW 4903C)
Entity type:Individual
Prefix:
First Name:CINDY
Middle Name:JOYLENE
Last Name:SHARP
Suffix:
Gender:F
Credentials:LICSW 4903C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 277
Mailing Address - Street 2:
Mailing Address - City:CALERA
Mailing Address - State:AL
Mailing Address - Zip Code:35040-0277
Mailing Address - Country:US
Mailing Address - Phone:205-586-5735
Mailing Address - Fax:
Practice Address - Street 1:262 YEAGER PKWY STE F
Practice Address - Street 2:
Practice Address - City:PELHAM
Practice Address - State:AL
Practice Address - Zip Code:35124-4884
Practice Address - Country:US
Practice Address - Phone:205-282-9564
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-21
Last Update Date:2021-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4903C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty