Sharon Hartzog, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C006312 Issued in NC

Practice address

418 Star Ruby Dr
Knightdale, NC 27545

Phone

(919) 266-4629

NPI assigned

May 29, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Array of Hope Health Care Services LLC

  • Home Health Agency
  • Knightdale, NC
  • NPI 1841989167
  NPD Authorized official
• Inner Peace Community Support Services LLC

  • Clinical Social Worker
  • Knightdale, NC
  • NPI 1952681140

  NC

  Medicare reassignment
• Destiny Counseling Connection PLLC

  • Professional Counselor
  • Garner, NC
  • NPI 1174766554
  NPD (past)

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488326400000",
    "number": "1073714036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 STAR RUBY DR",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275457236",
            "telephone_number": "919-455-6532",
            "fax_number": "919-217-1820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 STAR RUBY DR",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "27545",
            "telephone_number": "919-266-4629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTZOG",
        "first_name": "SHARON",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-29",
        "last_updated": "2017-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C006312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shirnetta Harrell, LCSWA
• Kadijah Laneak Harris, LCSW-A
• Martha F. Harris, PT, DPT
• Raquievia Harris
• Stephen Ray Harris, PT
• Health Point Medical Supplies LLC
• Nathan W Heath, PA-C
• Amanda Jane Hebard, LPCA
• Loni Tyndall Hegarty, FNP-C
• Nicholas Hemby

• All providers in Knightdale, NC
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.