Active NPI
Sharon Elaine Depaulo, LICSWA
- Clinical Social Worker
- Colville, WA
National Provider Identifier
1154708360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SC61397503
- 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, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| SC61397503 | WA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New 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.