Active NPI
Diane Marie Sharper, MSW, LICSW
- Clinical Social Worker
- Minneapolis, MN
National Provider Identifier
1508911272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 10087
- Practice address
- 3005 James Ave S
Minneapolis, MN 55408-2533 - Phone
- (612) 871-4250
- Fax
- (612) 823-1820
- NPI assigned
- Jan 24, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 10087 | MN | Primary |
Addresses
Primary practice location
3005 James Ave S
Minneapolis, MN 55408-2533
Mailing address
3005 James Ave S
Minneapolis, MN 55408-2533
Phone (612) 871-4250
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6G028SH | Other | MN | BLUECROSSBLUESHIELD |
| 18469 | Other | MN | HEALTH PARTNERS |
| 6200913 | Other | MN | UNITEDBEHAVIORALHEALTH |
| 6200913 | Other | MN | MEDICA |
Other names 1
- Diane S Sharper
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Nov 2, 2020 through Nov 2, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508911272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3005 JAMES AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554082533",
"telephone_number": "612-871-4250",
"fax_number": "612-823-1820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3005 JAMES AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554082533",
"telephone_number": "612-871-4250",
"fax_number": "612-823-1820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHARPER",
"first_name": "DIANE",
"middle_name": "MARIE",
"credential": "MSW, LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "10087",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSSBLUESHIELD",
"identifier": "6G028SH",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "18469",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITEDBEHAVIORALHEALTH",
"identifier": "6200913",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "6200913",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DIANE",
"last_name": "SHARPER",
"middle_name": "S",
"credential": "MSW, LICSW",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Minneapolis, MN
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.