Individual provider Active NPI

Sharon Marvel Flanders, LCSWR CASAC

  • Social Worker
  • Rhinebeck, NY
National Provider Identifier
1487797734
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
R0330701 Issued in NY
Practice address
6529 Springbrook Avenue
Rhinebeck, NY 12572
Phone
(845) 876-2006
Fax
(845) 876-5641
NPI assigned
Feb 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X R0330701 NY Primary

Addresses

Primary practice location

6529 Springbrook Avenue
Rhinebeck, NY 12572

Mailing address

26 Appletree Drive
Rhinebeck, NY 12572-1029
Phone (845) 876-2776

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

LicenseStateTypeSpecialty
R0330701NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487797734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 APPLETREE DRIVE",
            "city": "RHINEBECK",
            "state": "NY",
            "postal_code": "125721029",
            "telephone_number": "845-876-2776",
            "fax_number": "845-876-5641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6529 SPRINGBROOK AVENUE",
            "city": "RHINEBECK",
            "state": "NY",
            "postal_code": "12572",
            "telephone_number": "845-876-2006",
            "fax_number": "845-876-5641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLANDERS",
        "first_name": "SHARON",
        "middle_name": "MARVEL",
        "name_prefix": "Ms.",
        "credential": "LCSWR CASAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "R0330701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rhinebeck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.