Organization Active NPI

Sharon Thyne, LLC

  • Clinical Social Worker
  • Milwaukee, WI
National Provider Identifier
1467859967
Registry record updated Nov 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3113-123 Issued in WI
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

Updated by the provider on Nov 26, 2014

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
39228000MedicaidWI

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.