Active NPI
Sharon Thyne, LLC
- Clinical Social Worker
- Milwaukee, WI
National Provider Identifier
1467859967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 3113-123
- Legal business name
- SHARON THYNE, LLC
- Practice address
- 1845 N Farwell Ave
Suite 310
Milwaukee, WI 53202-9849 - Phone
- (414) 719-8398
- NPI assigned
- Nov 26, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Sharon E Thyne, LCSW
- Title
- Licensed Clinical Social Worker
- Phone
- (414) 719-8398
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 3113-123 | WI | Primary |
Addresses
Primary practice location
1845 N Farwell Ave
Suite 310
Milwaukee, WI 53202-9849
Mailing address
1845 N Farwell Ave
Suite 310
Milwaukee, WI 53202-9849
Phone (414) 719-8398
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39228000 | Medicaid | WI |
National Provider Directory
National Provider DirectoryLocations
1845 N Farwell Ave
#310
Milwaukee, WI 53202
Phone (414) 719-8398
1845 N Farwell Ave
Ste 310
Milwaukee, WI 53202
Phone (414) 719-8398
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416960000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1416960000000",
"number": "1467859967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1845 N FARWELL AVE",
"address_2": "SUITE 310",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532029849",
"telephone_number": "414-719-8398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1845 N FARWELL AVE",
"address_2": "SUITE 310",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532029849",
"telephone_number": "414-719-8398"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHARON THYNE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-11-26",
"last_updated": "2014-11-26",
"status": "A",
"authorized_official_last_name": "THYNE",
"authorized_official_first_name": "SHARON",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
"authorized_official_telephone_number": "414-719-8398",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "3113-123",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "39228000",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.