Active NPI
Sharon Johnson Waters, CSC-AD
- Addiction (Substance Use Disorder) Counselor
- East New Market, MD
National Provider Identifier
1366710725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- SC1038
- Practice address
- 3680 Warwick Rd
East New Market, MD 21631-1420 - Phone
- (410) 943-8108
- NPI assigned
- Dec 13, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | SC1038 | MD | Primary |
Addresses
Primary practice location
3680 Warwick Rd
East New Market, MD 21631-1420
Mailing address
3680 Warwick Rd
East New Market, MD 21631-1420
Phone (410) 943-8108
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 631501100 | Medicaid | MD |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC1038 | MD | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323734400000",
"number": "1366710725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3680 WARWICK RD",
"city": "EAST NEW MARKET",
"state": "MD",
"postal_code": "216311420",
"telephone_number": "410-943-8108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3680 WARWICK RD",
"city": "EAST NEW MARKET",
"state": "MD",
"postal_code": "216311420",
"telephone_number": "410-943-8108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATERS",
"first_name": "SHARON",
"middle_name": "JOHNSON",
"name_prefix": "Mrs.",
"credential": "CSC-AD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-13",
"last_updated": "2011-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MD",
"license": "SC1038",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "631501100",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in East New Market, MD
- Warwick Manor Behavioral Health, Inc.
- Warwick Manor Behavioral Health, Inc.
- Warwick Manor Behavioral Health, Inc.
- Warwick Manor Behavioral Health, Inc.
- Warwick Manor Behavioral Health, Inc.
- Josh Lew Webster, LCSW-C, CCDC
- Colleen White, LMSW
- Ozgur Yardimci, CRNP
- Katie Michael Yockey, IBCLC
- Jacquelyn Elaine Zimmerman, LCPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.