Sharon Grey Wilson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904008257 Issued in VA

Practice address

1150 Cherry Creek Rd
Meadows of Dan, VA 24120-3870

Phone

(276) 952-2727

Fax

(276) 952-2627

NPI assigned

Apr 8, 2014

Last updated

Nov 20, 2015By the provider in NPPES

Sex

Female

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

Enrolled in VA

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

Specialty

Clinical Social Worker

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Blue Ridge Counseling Services, LLC

  • Community/Behavioral Health Agency
  • Stuart, VA
  • NPI 1629217260
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1396915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447977600000",
    "number": "1316366248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 CHERRY CREEK RD",
            "city": "MEADOWS OF DAN",
            "state": "VA",
            "postal_code": "241203870",
            "telephone_number": "276-952-2727",
            "fax_number": "276-952-2627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 CHERRY CREEK RD",
            "city": "MEADOWS OF DAN",
            "state": "VA",
            "postal_code": "241203870",
            "telephone_number": "276-952-2727",
            "fax_number": "276-952-2627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "SHARON",
        "middle_name": "GREY",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-08",
        "last_updated": "2015-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa L Avedician, RBT
• CPB Behavioral Therapy and Advocacy Services, LLC
• Erika Hewlett, FNTP
• Kayley Grace King, CCC-SLP
• Crystal Peterson Barker, M.S.

• Clinical Social Worker in Meadows of Dan, VA
• Providers in Meadows of Dan, 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 Nov 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.