Sharise Eldredge, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904009334 Issued in VA

Practice address

9617 Maloney Rd
Fort Belvoir, VA 22060-2215

Phone

(352) 428-4535

NPI assigned

Jan 15, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1484438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484438400000",
    "number": "1285170225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9617 MALONEY RD",
            "city": "FORT BELVOIR",
            "state": "VA",
            "postal_code": "220602215",
            "telephone_number": "352-428-4535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9617 MALONEY RD",
            "city": "FORT BELVOIR",
            "state": "VA",
            "postal_code": "220602215",
            "telephone_number": "352-428-4535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELDREDGE",
        "first_name": "SHARISE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-15",
        "last_updated": "2017-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904009334",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "13240",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean Patrick Easley, PT
• Vahid Ebrahimi
• Angela Susan Eckert, PA-C
• Jeffrey Mance Edmondson, MD
• Rachel Egbert, DO
• James William Elliott, M.D.
• Khristian Ellison, LCSW
• James Andrew Ellzy II, M.D.
• Jessica Endahl, PT, DPT
• Jennifer Karol Eng-Kulawy, M.D.

• Clinical Social Worker in Fort Belvoir, VA
• Providers in Fort Belvoir, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2017; 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.