Active NPI
Harriet Sheppard, MSW
- Clinical Social Worker
- Brunswick, GA
National Provider Identifier
1427269281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ASW 18157
- Practice address
- 1111 Glynco Pkwy
2ND FL, Suite 200
Brunswick, GA 31525-7921 - Phone
- (912) 261-2355
- Fax
- (912) 265-5119
- NPI assigned
- May 24, 2007
- Last updated
- Jun 14, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | ASW 18157 | CA | Primary |
Addresses
Primary practice location
1111 Glynco Pkwy
2ND FL, Suite 200
Brunswick, GA 31525-7921
Mailing address
1111 Glynco Pkwy
2ND FL, Suite 200
Brunswick, GA 31525-7921
Phone (912) 261-2355
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASW 18157 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308009600000",
"number": "1427269281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 GLYNCO PKWY",
"address_2": "2ND FL, SUITE 200",
"city": "BRUNSWICK",
"state": "GA",
"postal_code": "315257921",
"telephone_number": "912-261-2355",
"fax_number": "912-265-5119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 GLYNCO PKWY",
"address_2": "2ND FL, SUITE 200",
"city": "BRUNSWICK",
"state": "GA",
"postal_code": "315257921",
"telephone_number": "912-261-2355",
"fax_number": "912-265-5119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEPPARD",
"first_name": "HARRIET",
"name_prefix": "Miss",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-24",
"last_updated": "2011-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "ASW 18157",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brunswick, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.