Individual provider Active NPI

Shari B Grande, LCSW

  • Clinical Social Worker
  • Sunnyvale, CA
National Provider Identifier
1376088658
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
87309 Issued in CA
Practice address
1127 Lochinvar Ave
Sunnyvale, CA 94087-5102
Phone
(650) 485-1036
NPI assigned
Dec 22, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2020

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 87309 CA Primary

Addresses

Primary practice location

1127 Lochinvar Ave
Sunnyvale, CA 94087-5102

Mailing address

3561 Homestead Rd # 2500
Santa Clara, CA 95051-5161
Phone (650) 485-1036

Other identifiers 1

IdentifierTypeStateIssuer
1376088658OtherCANPI

Other names 1

  • Ms. Shari Ellyn Bauman Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://www.truenorthsj.com/about/shari-grande/#tab-id-3 Direct
CONNECT URL https://www.psychologytoday.com/us/therapists/shari-grande-san-jose-ca/488890 Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Nov 20, 2024 through Nov 20, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
87309CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1482364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1376088658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3561 HOMESTEAD RD # 2500",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950515161",
            "telephone_number": "650-485-1036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 LOCHINVAR AVE",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940875102",
            "telephone_number": "650-485-1036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANDE",
        "first_name": "SHARI",
        "middle_name": "B",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-22",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "87309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1376088658",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.truenorthsj.com/about/shari-grande/#tab-id-3",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "173 N Morrison Ave Ste D",
            "city": "San Jose",
            "state": "CA",
            "country_code": "US",
            "postal_code": "951262712",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.psychologytoday.com/us/therapists/shari-grande-san-jose-ca/488890",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1127 Lochinvar Ave",
            "city": "Sunnyvale",
            "state": "CA",
            "country_code": "US",
            "postal_code": "940875102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SHARI",
            "last_name": "BAUMAN",
            "middle_name": "ELLYN",
            "prefix": "MS.",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sunnyvale, CA

Sources for this page

Verify at the official NPI Registry.