Individual provider Active NPI

Sharon L. Payne, CSW

  • Clinical Social Worker
  • Virginia Beach, VA
National Provider Identifier
1174598783
Registry record updated Dec 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
090400029700 Issued in VA
Practice address
533 Newtown Rd
Suite 115
Virginia Beach, VA 23462-5600
Phone
(757) 490-0725
Fax
(757) 496-6504
NPI assigned
Feb 18, 2006
Last updated
Dec 2, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 090400029700 VA Primary

Addresses

Primary practice location

533 Newtown Rd
Suite 115
Virginia Beach, VA 23462-5600

Mailing address

533 Newtown Rd
Suite 115
Virginia Beach, VA 23462-5600
Phone (757) 490-0725

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080227000143 VA Practitioner - Clinical Social Worker 6002990207 Practice locations: Virginia Beach, VA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1340 N Great Neck Rd
Suite 1272 339
Virginia Beach, VA 23454-2268

4429 Blackbeard Rd
Virginia Beach, VA 23455-2125
Phone (757) 490-0725

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Integral Health & Wellness PastSince Jun 1, 2020 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22175/brand/1/csg/1/fhir/r4

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": "1140220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196553600000",
    "number": "1174598783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 NEWTOWN RD",
            "address_2": "SUITE 115",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234625600",
            "telephone_number": "757-490-0725",
            "fax_number": "757-496-6504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 NEWTOWN RD",
            "address_2": "SUITE 115",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234625600",
            "telephone_number": "757-490-0725",
            "fax_number": "757-496-6504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "SHARON",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "CSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-18",
        "last_updated": "2007-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "090400029700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.