Individual provider Active NPI

Sharon Anita Anthony, MSW

  • Clinical Social Worker
  • Prospect, CT
National Provider Identifier
1427150358
Registry record updated Dec 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
002956 Issued in CT
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, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
004257970OtherCTCT MEDICAL ASSISTANCE LAD
176235OtherCTMHN
62-49787OtherCTUBH
004179116OtherCTCT MEDICAL ASSISTANCE LCS
051790OtherCTHORIZON
140002956CT08OtherCTANTHEM
P2573158OtherCTOXFORD
117555OtherCTVALUE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
000006CTMDMedical 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

Verify at the official NPI Registry.