Active NPI
Sharon Johnstone Perkins, LCSW
- Clinical Social Worker
- Rocky Mount, VA
National Provider Identifier
1649567645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904000264
- Practice address
- 30 Technology Dr
Rocky Mount, VA 24151-3008 - Phone
- (540) 483-5044
- Fax
- (540) 483-0583
- NPI assigned
- Jun 29, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904000264 | VA | Primary |
Addresses
Primary practice location
30 Technology Dr
Rocky Mount, VA 24151-3008
Mailing address
24 Clay St
Martinsville, VA 24112-2810
Phone (276) 632-7128
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004945221 | Medicaid | VA |
Other names 1
- Sharon Louise Perkins
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": "1309305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316736000000",
"number": "1649567645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 CLAY ST",
"city": "MARTINSVILLE",
"state": "VA",
"postal_code": "241122810",
"telephone_number": "276-632-7128",
"fax_number": "276-632-0127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 TECHNOLOGY DR",
"city": "ROCKY MOUNT",
"state": "VA",
"postal_code": "241513008",
"telephone_number": "540-483-5044",
"fax_number": "540-483-0583"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERKINS",
"first_name": "SHARON",
"middle_name": "JOHNSTONE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-29",
"last_updated": "2011-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904000264",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004945221",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SHARON",
"last_name": "PERKINS",
"middle_name": "LOUISE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Rocky Mount, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.