Individual provider Active NPI

Sharda McPherson

  • Clinical Social Worker
  • Bakersfield, CA
National Provider Identifier
1619440864
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW115339 Issued in CA
Practice address
1611 1St St
Bakersfield, CA 93304-2901
Phone
(661) 336-5300
NPI assigned
Jan 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 83547 CA
Social Worker 104100000X ASW83547 CA
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X LCSW115339 CA Primary

Addresses

Primary practice location

1611 1St St
Bakersfield, CA 93304-2901

Mailing address

1611 1St St
Bakersfield, CA 93304-2901
Phone (661) 336-5300

Other practice location 1

1401 L St
Bakersfield, CA 93301-4522
Phone (661) 868-6100

Other practice location 2

3628 Stockdale Hwy
Bakersfield, CA 93309-2153
Phone (661) 322-1021

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230920001449 CA Practitioner - Clinical Psychologist 0749634038 Reassigns benefits to 1 organization
I20240503001665 CA Practitioner - Clinical Social Worker 0749634038 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ASW83547CAMDSocial Worker
LCSW115339CAMDClinical Social Worker
83547CAMDCommunity/Retail Pharmacy

Practice roles

OrganizationSpecialtyStatusNew patients
County of Kern Social Worker CurrentSince Jul 24, 2023 Accepting new patients
Sud Specialty Group - Ca Clinical CurrentSince Aug 1, 2025 Accepting new patients
Southern California Permanente Medical Group CurrentSince Mar 20, 2024 Accepting new patients
County of Kern Social Worker Current Accepting new patients
Southern California Permanente Medical Group CurrentSince Mar 20, 2024 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
County of Kern Social Worker CurrentSince Jul 24, 2023 Accepting new patients

Locations

2525 N Chester Ave
Bakersfield, CA 93308
Phone (661) 328-4295

3733 San Dimas St
Ste 101
Bakersfield, CA 93301
Phone (800) 353-5400

3733 San Dimas St
Bakersfield, CA 93301
Phone (661) 631-3008

3628 Stockdale Hwy
Bakersfield, CA 93309
Phone (661) 322-1021

393 E Walnut St
Fl 5
Pasadena, CA 91188
Phone (310) 403-3235

4633 Old Ironsides Dr
Ste 304
Santa Clara, CA 95054
Phone (501) 271-9428

5201 Great America Pkwy
Ste 320
Santa Clara, CA 95054
Phone (323) 968-6182

520 Broadway
Ste 200
Santa Monica, CA 90401
Phone (949) 280-5295

Organizations & group practices 7

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": "1546992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1619440864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 1ST ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933042901",
            "telephone_number": "661-336-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 1ST ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933042901",
            "telephone_number": "661-336-5300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 L St",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933014522",
            "country_code": "US",
            "telephone_number": "661-868-6100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3628 Stockdale Hwy",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933092153",
            "country_code": "US",
            "telephone_number": "661-322-1021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCPHERSON",
        "first_name": "SHARDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-09",
        "last_updated": "2024-10-15",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "83547",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "ASW83547",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW115339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "3733 San Dimas St",
            "city": "Bakersfield",
            "state": "CA",
            "country_code": "US",
            "postal_code": "933011407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.