Individual provider Active NPI

Sharon L Thwing, LCSW

  • Social Worker
  • Corvallis, OR
National Provider Identifier
1598747305
Registry record updated Aug 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
L12575 Issued in OR
Practice address
1112 NW Circle Blvd
Corvallis, OR 97330-1462
Phone
(541) 768-1221
NPI assigned
Nov 17, 2005
Last updated
Aug 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X L12575 OR Primary
Clinical Social Worker 1041C0700X LCSW10658 AZ

Addresses

Primary practice location

1112 NW Circle Blvd
Corvallis, OR 97330-1462

Mailing address

PO Box 1189
Corvallis, OR 97339-1189

Other practice location 1

1260 S Campbell Rd
Green Valley, AZ 85614-0502
Phone (520) 625-3691

Other identifiers 1

IdentifierTypeStateIssuer
808313MedicaidAZ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sthwing208359@samhealth.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20231103001318 WA Practitioner - Clinical Social Worker 2567483290 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW10658AZMDClinical Social Worker
10658AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Public Hospital District No 2 Skagit County Washington CurrentSince Sep 10, 2023 Accepting new patients
Public Hospital District No 2 Skagit County Washington CurrentSince Sep 10, 2023 Accepting new patients
Public Hospital District No 2 Skagit County Washington Current Accepting new patients

Locations

1211 24th St
Anacortes, WA 98221
Phone (360) 293-3181

2511 M Ave
Ste B
Anacortes, WA 98221
Phone (360) 293-3101

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628812800000",
    "number": "1598747305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1189",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973391189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 NW CIRCLE BLVD",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973301462",
            "telephone_number": "541-768-1221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1260 S Campbell Rd",
            "address_purpose": "LOCATION",
            "city": "Green Valley",
            "state": "AZ",
            "postal_code": "856140502",
            "country_code": "US",
            "telephone_number": "520-625-3691",
            "fax_number": "520-625-2894",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THWING",
        "first_name": "SHARON",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-17",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OR",
            "license": "L12575",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW10658",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "808313",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sthwing208359@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "1112 NW Circle Blvd",
            "city": "Corvallis",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973301462",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

Verify at the official NPI Registry.