Individual provider Active NPI

Sharon Denise Wilkerson

  • Clinical Social Worker
  • Stony Brook, NY
National Provider Identifier
1295048304
Registry record updated Dec 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P051682 Issued in NY
Practice address
Health Science Center T-10
Stonybrook University Hospital Department of Psychiatry
Stony Brook, NY 11790-8101
Phone
(631) 444-2884
NPI assigned
Jul 17, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2013

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 P051682 NY Primary

Addresses

Primary practice location

Health Science Center T-10
Stonybrook University Hospital Department of Psychiatry
Stony Brook, NY 11790-8101

Mailing address

Health Science Center T-10
Stonybrook University Hospital Department of Psychiatry
Stony Brook, NY 11790-8101
Phone (631) 444-2884

Other names 1

  • Sharon Wilkerson Professional name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
P051682NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology Associates of Stony Brook, University Faculty Practice Corpo Past Accepting new patients

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": "1279324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388448000000",
    "number": "1295048304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HEALTH SCIENCE CENTER T-10",
            "address_2": "STONYBROOK UNIVERSITY HOSPITAL DEPARTMENT OF PSYCHIATRY",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117908101",
            "telephone_number": "631-444-2884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HEALTH SCIENCE CENTER T-10",
            "address_2": "STONYBROOK UNIVERSITY HOSPITAL DEPARTMENT OF PSYCHIATRY",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117908101",
            "telephone_number": "631-444-2884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKERSON",
        "first_name": "SHARON",
        "middle_name": "DENISE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-17",
        "last_updated": "2013-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "P051682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHARON",
            "last_name": "WILKERSON",
            "credential": "LCSWR",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Stony Brook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2013; 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.