Active NPI
Sharon Gwen Adelman, LICSW
- Clinical Social Worker
- Jamaica Plain, MA
National Provider Identifier
1295889251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 107333
- Practice address
- 705 Centre St
Third Floor
Jamaica Plain, MA 02130-2598 - Phone
- (617) 522-2921
- Fax
- (617) 524-4151
- NPI assigned
- Jan 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 107333 | MA | Primary |
Addresses
Primary practice location
705 Centre St
Third Floor
Jamaica Plain, MA 02130-2598
Mailing address
119 Sedgwick St
Jamaica Plain, MA 02130-2836
Phone (617) 524-8523
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851691 | Medicaid | MA | |
| PO 7610 | Other | MA | BLUE CROSS BLUE SHIELD OF |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1295889251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 SEDGWICK ST",
"city": "JAMAICA PLAIN",
"state": "MA",
"postal_code": "021302836",
"telephone_number": "617-524-8523",
"fax_number": "617-522-9675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 CENTRE ST",
"address_2": "THIRD FLOOR",
"city": "JAMAICA PLAIN",
"state": "MA",
"postal_code": "021302598",
"telephone_number": "617-522-2921",
"fax_number": "617-524-4151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADELMAN",
"first_name": "SHARON",
"middle_name": "GWEN",
"name_prefix": "Ms.",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-23",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "107333",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1851691",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF",
"identifier": "PO 7610",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jamaica Plain, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.