Individual provider Active NPI

Sharon Corbett Mumford, LCSW

  • Clinical Social Worker
  • Goldsboro, NC
National Provider Identifier
1619084035
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C004835 Issued in NC
Practice address
696 N Spence Ave Ste B
Goldsboro, NC 27534-4354
Phone
(919) 583-8448
Fax
(919) 583-8449
NPI assigned
Aug 23, 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 C004835 NC Primary

Addresses

Primary practice location

696 N Spence Ave Ste B
Goldsboro, NC 27534-4354

Mailing address

696 N Spence Ave Ste B
Goldsboro, NC 27534-4354
Phone (919) 583-8448

Other identifiers 1

IdentifierTypeStateIssuer
6003544MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20070504000443 NC Practitioner - Clinical Social Worker 9335245562 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C004835NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Waynesboro Family Clinic CurrentSince Jan 24, 2025 Accepting new patients
Wellsprings Center of Goldsboro,P.a. Past Accepting new patients
Wayne Cares Inc. PastSince Jan 24, 2025 Accepting new patients
Wayne Health Physicians Past Accepting new patients

Locations

1706 Wayne Memorial Dr
Goldsboro, NC 27534
Phone (919) 734-6676

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619084035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "696 N SPENCE AVE STE B",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275344354",
            "telephone_number": "919-583-8448",
            "fax_number": "919-583-8449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "696 N SPENCE AVE STE B",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275344354",
            "telephone_number": "919-583-8448",
            "fax_number": "919-583-8449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUMFORD",
        "first_name": "SHARON",
        "middle_name": "CORBETT",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C004835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6003544",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

Verify at the official NPI Registry.