Individual provider Active NPI

Sharon Walsh, LCSW

  • Clinical Social Worker
  • Allen, TX
National Provider Identifier
1457958472
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801119335 Issued in MI
Practice address
2012 Country Brook LN
Allen, TX 75002-2613
Phone
(808) 722-5390
NPI assigned
Oct 2, 2020
Last updated
May 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 3613 HI
Clinical Social Worker 1041C0700X 6801119335 MI Primary

Addresses

Primary practice location

2012 Country Brook LN
Allen, TX 75002-2613

Mailing address

2012 Country Brook LN
Allen, TX 75002-2613
Phone (808) 722-5390

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NH, MI3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20240521002118 TX Practitioner - Clinical Social Worker 2860834967
I20250220001223 NH Practitioner - Clinical Social Worker 2860834967 Reassigns benefits to 1 organization
I20250417002683 MI Practitioner - Clinical Social Worker 2860834967 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Elliot Professional ServicesGroup PAC ID 6103727920, 429 clinicians

Practice addresses (Care Compare)

1 Elliot Way
Manchester, NH 03103-3502
Phone (603) 622-6484

445 Cypress St
Suite 8
Manchester, NH 03103-3600
Phone (603) 552-1670

One Elliot Way
100 Elliot Cardiovascular Consultants
Manchester, NH 03103-3502
Phone (603) 627-1669

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3613HIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bellin Memorial Hospital Inc CurrentSince Apr 8, 2025 Accepting new patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients
Elliot Professional Services CurrentSince Jan 21, 2025 Accepting new patients
Bellin Memorial Hospital Inc Current Accepting new patients
Bellin Psychiatric Center Inc. Clinical CurrentSince Apr 8, 2025 Accepting new patients
Bellin Psychiatric Center Inc. Current Accepting new patients
Elliot Professional Services Past Accepting new patients

Locations

440 Woodward Ave
Iron Mountain, MI 49801
Phone (906) 776-9040

1 Elliot Way
Manchester, NH 03103
Phone (603) 663-2271

445 Cypress St
Ste 8
Manchester, NH 03103
Phone (603) 552-1670

744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025

Interoperability endpoints

  • Direct secure messaging: sharonwalsh@tdh.allscriptsdirect.net

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1601596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1457958472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 COUNTRY BROOK LN",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750022613",
            "telephone_number": "808-722-5390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 COUNTRY BROOK LN",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750022613",
            "telephone_number": "808-722-5390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "SHARON",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-02",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "3613",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801119335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

Verify at the official NPI Registry.