Active NPI
Sharon Gilmore, LCSW
- Clinical Social Worker
- Griffin, GA
National Provider Identifier
1184074023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW005533
- Practice address
- 230 W College St Ste D
Griffin, GA 30224-4249 - Phone
- (678) 688-3133
- NPI assigned
- Jun 21, 2016
- Last updated
- Apr 21, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW005533 | GA | Primary |
Addresses
Primary practice location
230 W College St Ste D
Griffin, GA 30224-4249
Mailing address
PO Box 280
Sunny Side, GA 30284-0280
Phone (770) 689-8776
Other practice location 1
20 Pomona Rd
Griffin, GA 30223-5740
Phone (770) 689-8776
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW005533 | GA | MD | Clinical Social Worker |
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": "1466467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682035200000",
"number": "1184074023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 280",
"city": "SUNNY SIDE",
"state": "GA",
"postal_code": "302840280",
"telephone_number": "770-689-8776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 W COLLEGE ST STE D",
"city": "GRIFFIN",
"state": "GA",
"postal_code": "302244249",
"telephone_number": "678-688-3133"
}
],
"practiceLocations": [
{
"address_1": "20 Pomona Rd",
"address_purpose": "LOCATION",
"city": "Griffin",
"state": "GA",
"postal_code": "302235740",
"country_code": "US",
"telephone_number": "770-689-8776",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GILMORE",
"first_name": "SHARON",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-21",
"last_updated": "2023-04-21",
"certification_date": "2023-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW005533",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Griffin, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.