Active NPI
Sharon L Thwing, LCSW
- Social Worker
- Corvallis, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- L12575
- Practice address
- 1112 NW Circle Blvd
Corvallis, OR 97330-1462 - Phone
- (541) 768-1221
- NPI assigned
- Nov 17, 2005
- Last updated
- Aug 13, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 808313 | Medicaid | AZ |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW10658 | AZ | MD | Clinical Social Worker |
| 10658 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Public Hospital District No 2 Skagit County Washington | Current | Accepting new patients | |
| Public Hospital District No 2 Skagit County Washington | Current | 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.
-
dba Lopez Island Medical Clinic
- Rural Health Clinic/Center
- Lopez, WA
- NPI 1740203967
-
- Rural Health Clinic/Center
- Eastsound, WA
- NPI 1245827781
-
dba Fidalgo Medical Associates at Island Hospital
- Clinic/Center
- Anacortes, WA
- NPI 1356591077
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.