Active NPI
Sharon Anita Anthony, MSW
- Clinical Social Worker
- Prospect, CT
National Provider Identifier
1427150358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 002956
- Practice address
- 60 Waterbury Rd Ste D
Prospect, CT 06712-1251 - Phone
- (203) 527-9551
- Fax
- (203) 758-7636
- NPI assigned
- Sep 1, 2006
- Last updated
- Dec 11, 2014
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 000006 | CT | |
| Clinical Social Worker | 1041C0700X | 002956 | CT | Primary |
Addresses
Primary practice location
60 Waterbury Rd Ste D
Prospect, CT 06712-1251
Mailing address
60 Waterbury Rd Ste D
Prospect, CT 06712-1251
Phone (203) 527-9551
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004257970 | Other | CT | CT MEDICAL ASSISTANCE LAD |
| 176235 | Other | CT | MHN |
| 62-49787 | Other | CT | UBH |
| 004179116 | Other | CT | CT MEDICAL ASSISTANCE LCS |
| 051790 | Other | CT | HORIZON |
| 140002956CT08 | Other | CT | ANTHEM |
| P2573158 | Other | CT | OXFORD |
| 117555 | Other | CT | VALUE OPTIONS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- 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 |
|---|---|---|---|---|
| I20150630000042 | CT | Practitioner - Clinical Social Worker | 5991017212 | Practice locations: Prospect, CT |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
60 Waterbury Rd D
Prospect, CT 06712-1251
Phone (203) 527-9551
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000006 | CT | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418256000000",
"number": "1427150358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 WATERBURY RD STE D",
"city": "PROSPECT",
"state": "CT",
"postal_code": "067121251",
"telephone_number": "203-527-9551",
"fax_number": "203-758-7636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 WATERBURY RD STE D",
"city": "PROSPECT",
"state": "CT",
"postal_code": "067121251",
"telephone_number": "203-527-9551",
"fax_number": "203-758-7636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANTHONY",
"first_name": "SHARON",
"middle_name": "ANITA",
"name_prefix": "Ms.",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-01",
"last_updated": "2014-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CT",
"license": "000006",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "002956",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CT MEDICAL ASSISTANCE LAD",
"identifier": "004257970",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "176235",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH",
"identifier": "62-49787",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CT MEDICAL ASSISTANCE LCS",
"identifier": "004179116",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON",
"identifier": "051790",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "140002956CT08",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P2573158",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "117555",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Prospect, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2014; 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.