Active NPI
Sharon Anne Palmer, LCSW
- Clinical Social Worker
- Bay Shore, NY
National Provider Identifier
1407150501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 082853
- Practice address
- 1428 5TH Ave
Bay Shore, NY 11706-4147 - Phone
- (631) 665-1900
- Fax
- (631) 665-1377
- NPI assigned
- Jan 4, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 082853 | NY | Primary |
| School Social Worker | 1041S0200X | NY |
Addresses
Primary practice location
1428 5TH Ave
Bay Shore, NY 11706-4147
Mailing address
1428 5TH Ave
Bay Shore, NY 11706-4147
Phone (631) 665-1900
Other names 1
- Mrs. Sharon Anne Palmer
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160304000548 | NY | Practitioner - Clinical Social Worker | 8224334065 | Practice locations: West Babylon, NY; Patchogue, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
17 Fordham Rd
West Babylon, NY 11704-5803
Phone (631) 321-7011
475 E Main St
Suite 211
Patchogue, NY 11772-3121
Phone (631) 987-7589
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 082853 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heart & Soul Community Counseling | Clinical | Past | Accepting new patients |
| Adults and Children With Learning and Developmental Disabilites, Inc. | Past | Accepting new patients | |
| Acld Kramer Learning Center | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Organizations & group practices 3
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.
-
- Developmental Disabilities Clinic/Center
- Bay Shore, NY
- NPI 1942565015
-
- Developmental Disabilities Clinic/Center
- Bethpage, NY
- NPI 1265674303
-
- Clinical Social Worker
- West Babylon, NY
- NPI 1346223252
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445990400000",
"number": "1407150501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1428 5TH AVE",
"city": "BAY SHORE",
"state": "NY",
"postal_code": "117064147",
"telephone_number": "631-665-1900",
"fax_number": "631-665-1377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1428 5TH AVE",
"city": "BAY SHORE",
"state": "NY",
"postal_code": "117064147",
"telephone_number": "631-665-1900",
"fax_number": "631-665-1377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALMER",
"first_name": "SHARON",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-04",
"last_updated": "2015-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "082853",
"primary": true
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "NY",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHARON",
"last_name": "PALMER",
"middle_name": "ANNE",
"prefix": "MRS.",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bay Shore, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.