Jerry L. Sharp, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

04833 Issued in TX

Practice address

1110 W. William Cannon Drive, Suite 301
Austin, TX 78745

Phone

(512) 416-1314

Fax

(512) 416-7019

NPI assigned

Feb 21, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265567465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3745 WHITT LOOP",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787496941",
            "telephone_number": "512-416-1314",
            "fax_number": "512-416-7019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 W. WILLIAM CANNON DRIVE, SUITE 301",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78745",
            "telephone_number": "512-416-1314",
            "fax_number": "512-416-7019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARP",
        "first_name": "JERRY",
        "middle_name": "L.",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "04833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharp Surgery Center LLC
• Carli Sharp
• Deborah Stokes Sharp, LCSW
• Erica Catterall Sharp, M.D.
• Howard R Sharp, LPC
• Kendall Laura Sharp, APRN, CPNP-AC/PC
• Kristin Sharp, LCSW
• Leigha Sharp, MD
• Sabine Sharp, RBT
• Sarah Elizabeth Sharp, SLP

• Clinical Social Worker in Austin, TX
• Providers in Austin, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.