Active NPI
Sharon Marie Lewis-Chacon, LISW
- Clinical Social Worker
- Austin, TX
National Provider Identifier
1003965179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 12687
- Practice address
- 6633 E Highway 290
Suite 303
Austin, TX 78723-1172 - Phone
- (512) 637-2040
- Fax
- (512) 637-2044
- NPI assigned
- Jan 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I-3060 | NM | |
| Clinical Social Worker | 1041C0700X | 12687 | TX | Primary |
Addresses
Primary practice location
6633 E Highway 290
Suite 303
Austin, TX 78723-1172
Mailing address
7208 Pickard Ave NE
Albuquerque, NM 87110-1412
Phone (505) 550-4016
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 196999001 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I-3060 | NM | MD | Clinical Social Worker |
| 12687 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234742400000",
"number": "1003965179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7208 PICKARD AVE NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871101412",
"telephone_number": "505-550-4016",
"fax_number": "505-865-3268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6633 E HIGHWAY 290",
"address_2": "SUITE 303",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787231172",
"telephone_number": "512-637-2040",
"fax_number": "512-637-2044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS-CHACON",
"first_name": "SHARON",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "LISW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-09",
"last_updated": "2009-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "I-3060",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "12687",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "196999001",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.