Active NPI
Sharon Rosemariecruz Odom, LCSW
- Clinical Social Worker
- San Jose, CA
National Provider Identifier
1225611551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW96936
- Practice address
- 2101 Alexian Dr Ste 101
San Jose, CA 95116-1901 - Phone
- (408) 595-9502
- NPI assigned
- May 4, 2021
- 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 | LCSW96936 | CA | Primary |
Addresses
Primary practice location
2101 Alexian Dr Ste 101
San Jose, CA 95116-1901
Mailing address
3077 Autumnwood CT
San Jose, CA 95148-2703
Phone (408) 600-4311
Other names 1
- Sharon Rosemarie Cruz
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW96936 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620086400000",
"number": "1225611551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3077 AUTUMNWOOD CT",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951482703",
"telephone_number": "408-600-4311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 ALEXIAN DR STE 101",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951161901",
"telephone_number": "408-595-9502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ODOM",
"first_name": "SHARON",
"middle_name": "ROSEMARIECRUZ",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-04",
"last_updated": "2021-05-04",
"certification_date": "2021-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW96936",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHARON",
"last_name": "CRUZ",
"middle_name": "ROSEMARIE",
"credential": "MSW",
"code": "1",
"type": "Former Name"
}
]
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.