Individual provider Active NPI

Sharon Anne McQuaide, LCSW PHD

  • Clinical Social Worker
  • Sherman, CT
National Provider Identifier
1518044296
Registry record updated Nov 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
000677 Issued in CT
Practice address
19 Holiday PT Rd
Sherman, CT 06784-1624
Phone
(860) 355-2539
Fax
(860) 350-6658
NPI assigned
Nov 1, 2006
Last updated
Nov 5, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2010

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 000677 CT Primary

Addresses

Primary practice location

19 Holiday PT Rd
Sherman, CT 06784-1624

Mailing address

19 Holiday PT Rd
Sherman, CT 06784-1624
Phone (860) 355-2539

Other identifiers 1

IdentifierTypeStateIssuer
140000677CT01OtherANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110512000265 CT Practitioner - Clinical Social Worker 7315123130 Practice locations: Sherman, CT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

19 Holiday Point Rd
Sherman, CT 06784-1624
Phone (860) 355-2539

19 Holiday PT Rd
Sherman, CT 06784-1624

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
000677CTMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288915200000",
    "number": "1518044296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 HOLIDAY PT RD",
            "city": "SHERMAN",
            "state": "CT",
            "postal_code": "067841624",
            "telephone_number": "860-355-2539",
            "fax_number": "860-350-6658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 HOLIDAY PT RD",
            "city": "SHERMAN",
            "state": "CT",
            "postal_code": "067841624",
            "telephone_number": "860-355-2539",
            "fax_number": "860-350-6658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCQUAIDE",
        "first_name": "SHARON",
        "middle_name": "ANNE",
        "credential": "LCSW PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2010-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "000677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "140000677CT01",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman, CT

Sources for this page

Verify at the official NPI Registry.