Active NPI
Sharon D. Greenidge, LCSW-C
- Clinical Social Worker
- Columbia, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 5308 Cedar LN Apt 214
Columbia, MD 21044-1673 - Phone
- (240) 813-8128
- NPI assigned
- Feb 12, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | MD | Primary |
Addresses
Primary practice location
5308 Cedar LN Apt 214
Columbia, MD 21044-1673
Mailing address
5308 Cedar LN Apt 214
Columbia, MD 21044-1673
Phone (240) 813-8128
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230829001601 | DC | Practitioner - Clinical Social Worker | 7810350527 | Reassigns benefits to 2 organizations |
| I20240322003380 | MD | Practitioner - Clinical Social Worker | 7810350527 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17154 | MD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Clinical | Current | Accepting new patients |
| Supportive Care of Maryland LLC | Current | Accepting new patients | |
| Sondermind Provider Network LLC | Clinical | Current | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
1910 Towne Centre Blvd
Ste 250
Annapolis, MD 21401
Phone (202) 596-8891
4409 East West Hwy
Riverdale Park, MD 20737
Phone (301) 699-2000
27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951
8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736208000000",
"number": "1194116152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5308 CEDAR LN APT 214",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210441673",
"telephone_number": "240-813-8128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5308 CEDAR LN APT 214",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210441673",
"telephone_number": "240-813-8128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENIDGE",
"first_name": "SHARON",
"middle_name": "D.",
"name_prefix": "Ms.",
"credential": "LCSW-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-12",
"last_updated": "2025-01-07",
"certification_date": "2025-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; 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.