Individual provider Active NPI

Sharon Messitte, MSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1578626933
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
PR0169541 Issued in NY
Practice address
320 West 86 Street
Apt 3a
New York, NY 10024-3139
Phone
(212) 799-5642
NPI assigned
Dec 18, 2006
Sex
Female
Sole proprietor
No

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 PR0169541 NY Primary

Addresses

Primary practice location

320 West 86 Street
Apt 3a
New York, NY 10024-3139

Mailing address

320 West 86 Street
Apt 3a
New York, NY 10024-3139
Phone (212) 799-5642

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20091207000584 NY Practitioner - Clinical Social Worker 2163561978 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

320 W 86 St
Apt 3a
New York, NY 10024-3139

320 W 86TH St
Apt 3a
New York, NY 10024-3139
Phone (212) 799-5642

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016954NYMDPsychologist
PR0169541NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578626933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 WEST 86 STREET",
            "address_2": "APT 3A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100243139",
            "telephone_number": "212-799-5642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 WEST 86 STREET",
            "address_2": "APT 3A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100243139",
            "telephone_number": "212-799-5642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESSITTE",
        "first_name": "SHARON",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PR0169541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.