Sharon Bale-Pena

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05801800 Issued in NJ

Practice address

234 Madison Ave
Wyckoff, NJ 07481-1949

Phone

(201) 477-8011

NPI assigned

Oct 14, 2020

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1602633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690588800000",
    "number": "1104424951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 PARK AVE",
            "city": "POMPTON PLAINS",
            "state": "NJ",
            "postal_code": "074442011",
            "telephone_number": "201-317-0890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 MADISON AVE",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074811949",
            "telephone_number": "201-477-8011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALE-PENA",
        "first_name": "SHARON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-14",
        "last_updated": "2023-07-29",
        "certification_date": "2023-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05801800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yevgeniya Jane Ash, M.A.CCC-SLP
• Vanessa Assante
• June Auger, LPC
• John Vincent Azzariti Jr., M.D.
• Suhalia Bakerywala, M.D.
• Dan W. Baugess, PH.D.
• August Bausewein IV, DC
• Theodore James Beke, MD
• Utpalkumar Bele, OTR
• Helen Hanna Benjamin

• Clinical Social Worker in Wyckoff, NJ
• Providers in Wyckoff, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2023; 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.