Active NPI
Sharon Cain Maysick, LCSW
- Social Worker
- Caledonia, NY
National Provider Identifier
1164575619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | R036328-1 | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 132011FK | Other | NY | PREFERRED 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.