Individual provider Active NPI

Jenna Nicole Sharp, LMSW

  • Social Worker
  • Orangeburg, NY
National Provider Identifier
1528820792
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
11740 Issued in NY
Practice address
2 1St Ave BLDG 129
Orangeburg, NY 10962-1106
Phone
(845) 680-4000
NPI assigned
Jan 24, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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 11740 NY Primary

Addresses

Primary practice location

2 1St Ave BLDG 129
Orangeburg, NY 10962-1106

Mailing address

4 Harriman Drive
Goshen, NY 10924-1558
Phone (845) 615-0224

Other practice location 1

4 Harriman Drive
Goshen, NY 10924-1558
Phone (845) 615-0224 ext. 33

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
11740NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1528820792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 HARRIMAN DRIVE",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109241558",
            "telephone_number": "845-615-0224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 1ST AVE BLDG 129",
            "city": "ORANGEBURG",
            "state": "NY",
            "postal_code": "109621106",
            "telephone_number": "845-680-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Harriman Drive",
            "address_purpose": "LOCATION",
            "city": "Goshen",
            "state": "NY",
            "postal_code": "109241558",
            "country_code": "US",
            "telephone_number": "845-615-0224 x33",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHARP",
        "first_name": "JENNA",
        "middle_name": "NICOLE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-24",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "11740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orangeburg, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; 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.