Sharon Rose, LCSW
Individual provider Active NPI Clinical Social Worker · Sherman, IL
NPI 1376414599 · NPPES record last updated Sep 12, 2025
Key facts
- NPI
- 1376414599
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 149012420 (IL)
- Practice address
- 1101 Cherrywood CT
Sherman, IL 62684-8631 - Phone
- (217) 971-7125
- NPI assigned
- Sep 12, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149012420 | IL | MD | Clinical Social Worker |
| 2022049683 | MO | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2022049683 | MO | |
| Clinical Social Worker |
1041C0700X | 149012420 | IL | Yes |
Addresses
Primary practice location
1101 Cherrywood CT
Sherman, IL 62684-8631
Mailing address
1101 Cherrywood CT
Sherman, IL 62684-8631
Phone (217) 971-7125
Other providers in Sherman, IL
- Rachel McClain
- Griffin McNamara
- John A. Mizer
- Grayce Parker
- Cheryl Penman
- Catherine Ryan
- Kenneth R. Sagins
- Jonathan Cody Sarginson
- Sherman Chiropractic LLC
- Sherman Family Medical Center Lab
All providers in Sherman, IL · Clinical Social Worker in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.