Jillian A Sharp, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW016291 Issued in PA

Practice address

620 Mockingbird LN
Audubon, PA 19403-1916

Phone

(973) 735-3348

NPI assigned

Mar 5, 2012

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1330905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1386918647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 MOCKINGBIRD LN",
            "city": "AUDUBON",
            "state": "PA",
            "postal_code": "194031916",
            "telephone_number": "973-735-3348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 MOCKINGBIRD LN",
            "city": "AUDUBON",
            "state": "PA",
            "postal_code": "194031916",
            "telephone_number": "973-735-3348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARP",
        "first_name": "JILLIAN",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-05",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NJ",
            "license": "44SC05361400",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW016291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Schopf
• Shannondell Inc. (Rehab at Shannondell)
• Shannondell, Inc. (Shannondell Health)
• Shannondell, Inc. (Shannondell Medical Group)
• Shannondell, Inc. (Rehab at Shannondell)
• Andrew Kyle Sher, LPC
• Cecilia Silverwood, LMT
• Manjit Singh, M.D.
• Smile Experts Inc (Audubon Family Dental)
• Jennifer Anne Smith-Anstine, LPC

• Clinical Social Worker in Audubon, PA
• Providers in Audubon, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.