Individual provider Active NPI

Sharon Light, LGSW

  • Clinical Social Worker
  • Takoma Park, MD
National Provider Identifier
1386003010
Registry record updated Feb 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
21042 Issued in MD
Practice address
708 Auburn Ave
Takoma Park, MD 20912-5853
Phone
(917) 656-3465
NPI assigned
Feb 23, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LG50080880 DC
Clinical Social Worker 1041C0700X 21042 MD Primary

Addresses

Primary practice location

708 Auburn Ave
Takoma Park, MD 20912-5853

Mailing address

708 Auburn Ave
Takoma Park, MD 20912-5853
Phone (917) 656-3465

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20171130000146 MD Practitioner - Clinical Social Worker 3779840707 Reassigns benefits to 2 organizations
I20240726000150 DC Practitioner - Clinical Social Worker 3779840707 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Focused Solutions LLCGroup PAC ID 6608043849, 18 clinicians

Practice addresses (Care Compare)

1634 I St NW
Suite 550
Washington, DC 20006-4069
Phone (410) 884-6031

5550 Sterrett PL
Suite 200
Columbia, MD 21044-2626
Phone (410) 884-6031

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LG50080880DCMDClinical Social Worker
21042MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Focused Solutions, LLC CurrentSince Jun 1, 2019 Accepting new patients

Locations

1634 I St NW
Ste 550
Washington, DC 20006
Phone (202) 573-2143

5550 Sterrett Pl
Ste 200
Columbia, MD 21044
Phone (410) 884-6031

Organizations & group practices 2

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": "1456185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456185600000",
    "number": "1386003010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 AUBURN AVE",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209125853",
            "telephone_number": "917-656-3465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 AUBURN AVE",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209125853",
            "telephone_number": "917-656-3465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIGHT",
        "first_name": "SHARON",
        "credential": "LGSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-23",
        "last_updated": "2016-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LG50080880",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "21042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Takoma Park, MD

Sources for this page

Verify at the official NPI Registry.