Organization Active NPI

Sharon Depcinski, LLC

  • Clinical Social Worker
  • Grand Rapids, MI
National Provider Identifier
1073081758
Registry record updated Nov 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SHARON DEPCINSKI, LLC
Practice address
4070 Lake Dr SE Ste 101
Grand Rapids, MI 49546-8294
Phone
(616) 690-0640
NPI assigned
Nov 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Sharon Depcinski, LMSWNPI 1316420045
Title
LMSW
Phone
(616) 690-0640

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

4070 Lake Dr SE Ste 101
Grand Rapids, MI 49546-8294

Mailing address

1748 Tamarack Ave NW
Grand Rapids, MI 49504-2861
Phone (616) 690-0640

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1541894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541894400000",
    "number": "1073081758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1748 TAMARACK AVE NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495042861",
            "telephone_number": "616-690-0640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4070 LAKE DR SE STE 101",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468294",
            "telephone_number": "616-690-0640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARON DEPCINSKI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-11",
        "last_updated": "2018-11-11",
        "status": "A",
        "authorized_official_last_name": "DEPCINSKI",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "LMSW",
        "authorized_official_telephone_number": "616-690-0640",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.