Individual provider Active NPI

Sharon Buck, MSW, LCSW

  • Mental Health Counselor
  • Berlin, MD
National Provider Identifier
1275965691
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
44SC05494100 Issued in NJ
Practice address
2209 Points Reach
Berlin, MD 21811-4215
Phone
(908) 955-3542
NPI assigned
Aug 8, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 44SC05494100 NJ Primary

Addresses

Primary practice location

2209 Points Reach
Berlin, MD 21811-4215

Mailing address

2209 Points Reach
Berlin, MD 21811-4215

Other practice location 1

409 Main St Fl 2
Chester, NJ 07930-2526
Phone (908) 955-3542

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20220526000171 MD Practitioner - Clinical Social Worker 9931420080 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2209 Points Reach
Berlin, MD 21811-4215
Phone (908) 887-1320

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26408MDMDPhysical Therapist

Organizations & group practices 1

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": "1375920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1275965691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 POINTS REACH",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218114215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2209 POINTS REACH",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218114215",
            "telephone_number": "908-955-3542"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "409 Main St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Chester",
            "state": "NJ",
            "postal_code": "079302526",
            "country_code": "US",
            "telephone_number": "908-955-3542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCK",
        "first_name": "SHARON",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-08",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "44SC05494100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berlin, MD

Sources for this page

Verify at the official NPI Registry.