Sharon Deane Baxley, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

006813 Issued in CT

Practice address

10 Fort Hill Rd
Groton, CT 06340-4757

Phone

(860) 501-6065

Fax

(860) 400-3042

NPI assigned

Jul 6, 2013

Last updated

May 19, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Baxley Counseling LLC

  • Clinical Social Worker
  • Ledyard, CT
  • NPI 1629527064
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1373068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1427499458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 BROOKLYN RD",
            "city": "CANTERBURY",
            "state": "CT",
            "postal_code": "063311138",
            "telephone_number": "860-501-6065",
            "fax_number": "860-400-3042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 FORT HILL RD",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063404757",
            "telephone_number": "860-501-6065",
            "fax_number": "860-400-3042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAXLEY",
        "first_name": "SHARON",
        "middle_name": "DEANE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-06",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "006813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kacelynn Gwen Banks
• Annette Lea Barbay, DDS
• Christina Barr, DPT
• Barri Optical
• Anthony Raymond Barri, MD
• Rashad Lamar Beamon, IDC
• Kelley Bean
• Nicholas David Becker
• Matthew Benjamin
• Frederick William Berggren Jr., PTA, ATC

• Clinical Social Worker in Groton, CT
• Providers in Groton, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.