Individual provider Active NPI

Rebecca Martin Sharman, MSW, LCSW

  • Clinical Social Worker
  • Phoenix, AZ
National Provider Identifier
1588914865
Registry record updated Dec 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
15304 Issued in AZ
Practice address
1107 E Tonto St
Phoenix, AZ 85034-4032
Phone
(602) 241-6656
NPI assigned
Sep 14, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2016

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 15304 AZ Primary

Addresses

Primary practice location

1107 E Tonto St
Phoenix, AZ 85034-4032

Mailing address

7501 E McDowell Rd Apt 2149
Scottsdale, AZ 85257-3579
Phone (919) 559-1258

Other names 1

  • Ms. Rebecca Ann Martin Former name

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480982400000",
    "number": "1588914865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7501 E MCDOWELL RD APT 2149",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852573579",
            "telephone_number": "919-559-1258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 E TONTO ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850344032",
            "telephone_number": "602-241-6656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARMAN",
        "first_name": "REBECCA",
        "middle_name": "MARTIN",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-14",
        "last_updated": "2016-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "15304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "MARTIN",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "MSW, LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2016; 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.