Sharon Rose Depcinski

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801077777 Issued in MI

Practice address

1748 Tamarack Ave NW
Grand Rapids, MI 49504-2861

Phone

(616) 361-7919

NPI assigned

Sep 9, 2018

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 10, 2024 through Jan 10, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Sharon Depcinski, LLC

  • Clinical Social Worker
  • Grand Rapids, MI
  • NPI 1073081758
  NPD Authorized official

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

{
    "created_epoch": "1536451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536451200000",
    "number": "1316420045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1748 TAMARACK AVE NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495042861",
            "telephone_number": "616-361-7919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1748 TAMARACK AVE NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495042861",
            "telephone_number": "616-361-7919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPCINSKI",
        "first_name": "SHARON",
        "middle_name": "ROSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-09",
        "last_updated": "2018-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801077777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruta C Denyangos
• Deonnie Dearmon
• Cheyenne Depalma
• Sarah Kay Depas, PNP
• Teresa Eve Depaz
• Amy Depotty
• Kayleen Depue, LPC, CCS, CADC, LBSW
• Derek Devries DDS PLLC
• Maddison Rosemary Derickson, PT, DPT
• Kevin Michael Deridder, PHARM.D

• Clinical Social Worker in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.