Individual provider Active NPI

Sharon Cain Maysick, LCSW

  • Social Worker
  • Caledonia, NY
National Provider Identifier
1164575619
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
R036328-1
Practice address
3350 Brown Rd
Caledonia, NY 14423-9534
Phone
(585) 538-6250
NPI assigned
Jan 19, 2007
Sex
Female
Sole proprietor
Yes

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X R036328-1 Primary

Addresses

NPPES NPI Registry

Primary practice location

3350 Brown Rd
Caledonia, NY 14423-9534

Mailing address

1303 Attridge Rd
Churchville, NY 14428-9433
Phone (585) 293-3126

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
132011FKOtherNYPREFERRED CARE

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164575619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 ATTRIDGE RD",
            "city": "CHURCHVILLE",
            "state": "NY",
            "postal_code": "144289433",
            "telephone_number": "585-293-3126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 BROWN RD",
            "city": "CALEDONIA",
            "state": "NY",
            "postal_code": "144239534",
            "telephone_number": "585-538-6250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYSICK",
        "first_name": "SHARON",
        "middle_name": "CAIN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": "R036328-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "132011FK",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Caledonia, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.