Individual provider Active NPI

Sharon Kristine Adams, MSW, LCSW

  • Clinical Social Worker
  • Bedford, IN
National Provider Identifier
1093899015
Registry record updated Jul 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34005726A Issued in IN
Practice address
2325 Q St
Bedford, IN 47421-4718
Phone
(812) 279-4673
Fax
(812) 279-4672
NPI assigned
Oct 25, 2006
Last updated
Jul 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 34005726A IN Primary

Addresses

Primary practice location

2325 Q St
Bedford, IN 47421-4718

Mailing address

2325 Q St
Bedford, IN 47421-4718
Phone (812) 279-4673

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sharonadams@stonecitycounseling.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20120329000447 IN Practitioner - Clinical Social Worker 4486814308 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stone City Counseling IncGroup PAC ID 4880751304, 2 clinicians

Practice addresses (Care Compare)

2325 Q St
Bedford, IN 47421-4718
Phone (812) 279-4673

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34005726AINMDClinical Social Worker

Interoperability endpoints

  • Direct secure messaging: sharonadams@stonecitycounseling.org

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625788800000",
    "number": "1093899015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 Q ST",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474214718",
            "telephone_number": "812-279-4673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 Q ST",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474214718",
            "telephone_number": "812-279-4673",
            "fax_number": "812-279-4672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "SHARON",
        "middle_name": "KRISTINE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34005726A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sharonadams@stonecitycounseling.org",
            "affiliation": "N",
            "address_1": "2325 Q St",
            "city": "Bedford",
            "state": "IN",
            "country_code": "US",
            "postal_code": "474214718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bedford, IN

Sources for this page

Verify at the official NPI Registry.