Destiny Sharack

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC06040800 Issued in NJ

Practice address

22 Village CT
Hazlet, NJ 07730-1532

Phone

(732) 440-9141

NPI assigned

Apr 12, 2021

Last updated

May 12, 2022By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Inner Clarity CounselingGroup PAC ID 8022442078, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Inner Clarity Counseling

  • Clinical Social Worker
  • Hazlet, NJ
  • NPI 1154886422
  Medicare reassignment Care Compare group NPD
• Inner Clarity LLC

  • Clinical Social Worker
  • Hazlet, NJ
  • NPI 1639684103
  NPD

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652313600000",
    "number": "1366022469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 VILLAGE CT",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301532",
            "telephone_number": "732-440-9141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 VILLAGE CT",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077301532",
            "telephone_number": "732-440-9141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARACK",
        "first_name": "DESTINY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-12",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06320100",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06040800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Seman, LSW
• Seva Cardiothoracic & Vascular Assoc. PA
• Megha Shah, D.D.S.
• Shalin Tarun Shah, D.O.
• Sonny Shah, PHARMD
• Shawn Michael Field MD PHD LLC
• Sunny Shen, PH.D.
• Shore Hearing Aid Center Inc
• Shore Rehab & Wellness, LLC
• Scott R Shrem, D.P.M.

• Clinical Social Worker in Hazlet, NJ
• Providers in Hazlet, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; 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.