Sharon Lynn Bullard, MSSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5089 Issued in SC

Practice address

1601 Harmon Ave
Wach-Behavioral Health Clinic
Ft Stewart, GA 31314-5844

Phone

(912) 767-1647

Fax

(912) 767-3507

NPI assigned

Jul 19, 2005

Last updated

Jan 25, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295913600000",
    "number": "1497754840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1061 HARMON AVE STE 1D03",
            "address_2": "WACH-WINN ARMY COMMUNITY HOSPI",
            "city": "FORT STEWART",
            "state": "GA",
            "postal_code": "313145641",
            "telephone_number": "912-767-1647",
            "fax_number": "912-767-3507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 HARMON AVE",
            "address_2": "WACH-BEHAVIORAL HEALTH CLINIC",
            "city": "FT STEWART",
            "state": "GA",
            "postal_code": "313145844",
            "telephone_number": "912-767-1647",
            "fax_number": "912-767-3507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLARD",
        "first_name": "SHARON",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "MSSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-19",
        "last_updated": "2011-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "5089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regina S Brown, PSYD
• Tometricia Brown
• Matthew Broyles
• Dorota Bryant
• Janis Dawn Buffaloe, PSY.D.
• April Powers Bumpers, DDS, MS
• Byron John Bunal, CST
• Robert Bundy, PA-C
• Michelle Bunting, REGISTERED NURSE
• Gary Peebles Burch, RPH

• Clinical Social Worker in Fort Stewart, GA
• Providers in Fort Stewart, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; 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.