Sharon J Wickham, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0904002779 Issued in VA

Practice address

921 First Colonial Rd Ste 1711
Virginia Beach, VA 23454-3167

Phone

(757) 428-7500

Fax

(757) 428-7699

NPI assigned

Oct 25, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Sharon J Pattison Former name

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

Specialty

Clinical Social Worker

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Focused Growth PsychotherapyGroup PAC ID 6507256211, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Focused Growth Psychotherapy

  • Mental Health Counselor
  • Virginia Beach, VA
  • NPI 1306509252
  Medicare reassignment Care Compare group NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198022400000",
    "number": "1194800771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 FIRST COLONIAL RD STE 1711",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543167",
            "telephone_number": "757-428-7500",
            "fax_number": "757-428-7699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 FIRST COLONIAL RD STE 1711",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543167",
            "telephone_number": "757-428-7500",
            "fax_number": "757-428-7699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICKHAM",
        "first_name": "SHARON",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0904002779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHARON",
            "last_name": "PATTISON",
            "middle_name": "J",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sabrina Lee Whyte
• Samantha Whyte
• Amy Nicole Wick, M.S., BCBA
• Jannifer Lynn Wick, PA-C
• Nancy A Wick, MD
• Lelia Anne Trainum Wickline, LCSW
• Kathleen Nicole Wido, MS CF-SLP
• Kayla Wiggins
• Lee Scott Wiggins, LCSW
• Shamikia N Wiggins

• Mental Health Counselor in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.