Individual provider Active NPI

Sharon Elaine Depaulo, LICSWA

  • Clinical Social Worker
  • Colville, WA
National Provider Identifier
1154708360
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SC61397503 Issued in WA
Practice address
150 S Elm St
Colville, WA 99114-2834
Phone
(509) 675-1447
Fax
(509) 684-3852
NPI assigned
Apr 27, 2015
Last updated
Feb 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SC61397503 WA Primary
Doula 374J00000X

Addresses

Primary practice location

150 S Elm St
Colville, WA 99114-2834

Mailing address

PO Box 603
Marcus, WA 99151-0603
Phone (509) 520-7227

Other practice location 1

1206 Cider Street
Marcus, WA 99151-9915
Phone (509) 520-7227

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SC61397503WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Nest FRSC Doula Current Accepting new patients

Locations

150 S Elm St
Colville, WA 99114
Phone (509) 684-3584

Organizations & group practices 1

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": "1430092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1154708360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 603",
            "city": "MARCUS",
            "state": "WA",
            "postal_code": "991510603",
            "telephone_number": "509-520-7227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S ELM ST",
            "city": "COLVILLE",
            "state": "WA",
            "postal_code": "991142834",
            "telephone_number": "509-675-1447",
            "fax_number": "509-684-3852"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1206 CIDER STREET",
            "address_purpose": "LOCATION",
            "city": "Marcus",
            "state": "WA",
            "postal_code": "991519915",
            "country_code": "US",
            "telephone_number": "509-520-7227",
            "fax_number": "509-684-5286",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEPAULO",
        "first_name": "SHARON",
        "middle_name": "ELAINE",
        "credential": "LICSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-27",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SC61397503",
            "primary": true
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; 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.