Individual provider Active NPI

Sharon L. Bobrowski, MSW, LCSW, MA

  • Clinical Social Worker
  • Wheaton, IL
National Provider Identifier
1497873053
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
200 E Willow Ave
Suite 101
Wheaton, IL 60187-5463
Phone
(630) 248-9422
Fax
(630) 462-9929
NPI assigned
Mar 26, 2007
Sex
Female
Sole proprietor
Yes

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
Clinical Social Worker 1041C0700X IL Primary

Addresses

Primary practice location

200 E Willow Ave
Suite 101
Wheaton, IL 60187-5463

Mailing address

2Oo E. Willow
Suite 101
Wheaton, IL 60187
Phone (630) 248-9422

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
IL-149-000075ILMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497873053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2OO E. WILLOW",
            "address_2": "SUITE 101",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "60187",
            "telephone_number": "630-248-9422",
            "fax_number": "630-462-9929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E WILLOW AVE",
            "address_2": "SUITE 101",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601875463",
            "telephone_number": "630-248-9422",
            "fax_number": "630-462-9929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBROWSKI",
        "first_name": "SHARON",
        "middle_name": "L.",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW, MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, IL

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.