Individual provider Active NPI

Sharyn Simpson

  • Clinical Social Worker
  • Kokomo, IN
National Provider Identifier
1245080134
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34011009A Issued in IN
Practice address
429 W Lincoln Rd
Kokomo, IN 46902-3508
Phone
(765) 453-5600
NPI assigned
Mar 25, 2024
Last updated
Mar 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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 34011009A IN Primary

Addresses

Primary practice location

429 W Lincoln Rd
Kokomo, IN 46902-3508

Mailing address

5767 N Lake Road 51 W
Monticello, IN 47960-7032
Phone (214) 300-5600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20240417002683 IN Practitioner - Clinical Social Worker 6608215041 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Four County Comprehensive Mental Health Center IncGroup PAC ID 2163334277, 42 clinicians

Practice addresses (Care Compare)

800 Fulton St
Logansport, IN 46947-1577
Phone (574) 722-5151

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Post Acute Care PLLC Clinical CurrentSince Mar 13, 2024 Accepting new patients
Four County Comprehensive Mental Health Center, Inc CurrentSince Feb 11, 2025 Accepting new patients
Four County Comprehensive Mental Health Center Inc CurrentSince Feb 11, 2025 Accepting new patients

Locations

2045 W Grand Ave
Ste B
Chicago, IL 60612
Phone (800) 827-7437

3002 E Wabash St
Frankfort, IN 46041

4410 W 49th Ave
Hobart, IN 46342
Phone (219) 942-3279

1948 W Boulevard
Kokomo, IN 46902
Phone (765) 236-1290

2796 N Apperson Way
Kokomo, IN 46901

429 W Lincoln Rd
Kokomo, IN 46902
Phone (765) 453-5600

1750 S Creasy Ln
Lafayette, IN 47905
Phone (765) 447-6600

1 Landis Ln
Logansport, IN 46947

1015 Michigan Ave
Logansport, IN 46947

421 12th St
Logansport, IN 46947
Phone (574) 722-7407

800 Fulton St
Logansport, IN 46947
Phone (574) 205-2600

1000 N Broadway
Peru, IN 46970
Phone (765) 472-5335

2355 S Business 31
Peru, IN 46970

1 Zebra Ln
Rochester, IN 46975
Phone (574) 223-2159

401 E 8th St
Rochester, IN 46975
Phone (574) 223-8565

417 S Chicago St
Royal Center, IN 46978

1060 S Main St
Tipton, IN 46072
Phone (765) 675-1111

619 S Main St
Tipton, IN 46072

2418 Curtis Dr
Winamac, IN 46996
Phone (219) 946-7710

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, 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": "1711324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1245080134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 N LAKE ROAD 51 W",
            "city": "MONTICELLO",
            "state": "IN",
            "postal_code": "479607032",
            "telephone_number": "214-300-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 W LINCOLN RD",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469023508",
            "telephone_number": "765-453-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "SHARYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-25",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34011009A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kokomo, IN

Sources for this page

Verify at the official NPI Registry.