Individual provider Active NPI

Sharon Diane O'Brien, LICSW

  • Clinical Social Worker
  • Spokane, WA
National Provider Identifier
1346385135
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW00008665 Issued in WA
Practice address
210 W Sprague Ave
Spokane, WA 99201-3627
Phone
(509) 343-5038
Fax
(509) 747-0609
NPI assigned
Feb 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 LW00008665 WA Primary

Addresses

Primary practice location

210 W Sprague Ave
Spokane, WA 99201-3627

Mailing address

3317 W Garland Ave
Spokane, WA 99205-2118
Phone (509) 475-3820

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20060209000203 WA Practitioner - Clinical Social Worker 2668487885 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LW00008665WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lutheran Community Services Northwest CurrentSince Nov 21, 2023 Accepting new patients
Lutheran Community Services Northwest CurrentSince Nov 21, 2023 Accepting new patients
Lutheran Community Services Northwest Clinical Current Accepting new patients

Locations

210 W Sprague Ave
Spokane, WA 99201
Phone (509) 747-8224

Organizations & group practices 3

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": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346385135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3317 W GARLAND AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992052118",
            "telephone_number": "509-475-3820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W SPRAGUE AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992013627",
            "telephone_number": "509-343-5038",
            "fax_number": "509-747-0609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "SHARON",
        "middle_name": "DIANE",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00008665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.