Active NPI
Sharon Wall, LICSW
- Clinical Social Worker
- Hudson, MA
National Provider Identifier
1487363545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 113539
- Practice address
- 4406 Matrix Way
Hudson, MA 01749-2955 - Phone
- (978) 618-4086
- NPI assigned
- Nov 17, 2022
- Sex
- Female
- Sole proprietor
- No
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 | 113539 | MA | Primary |
Addresses
Primary practice location
4406 Matrix Way
Hudson, MA 01749-2955
Mailing address
4406 Matrix Way
Hudson, MA 01749-2955
Phone (978) 618-4086
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | mydrive |
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 |
|---|---|---|---|
| 113539 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Handel Behavioral Health Services Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Franklin, MA
- NPI 1497353130
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668988800000",
"number": "1487363545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4406 MATRIX WAY",
"city": "HUDSON",
"state": "MA",
"postal_code": "017492955",
"telephone_number": "978-618-4086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4406 MATRIX WAY",
"city": "HUDSON",
"state": "MA",
"postal_code": "017492955",
"telephone_number": "978-618-4086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALL",
"first_name": "SHARON",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-17",
"last_updated": "2022-11-21",
"certification_date": "2022-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "113539",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "mydrive",
"affiliation": "N",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4406 Matrix Way",
"city": "Hudson",
"state": "MA",
"country_code": "US",
"postal_code": "017492955",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Hudson, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.