Individual provider Active NPI

Sharon Emerson, LCSW

  • Clinical Social Worker
  • Rensselaer, NY
National Provider Identifier
1649814062
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
088854 Issued in NY
Practice address
620 Washington Ave
Rensselaer, NY 12144-1300
Phone
(518) 252-7073
NPI assigned
Oct 29, 2019
Last updated
Oct 29, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2019

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 088854 NY Primary

Addresses

Primary practice location

620 Washington Ave
Rensselaer, NY 12144-1300

Mailing address

4 Erie CT
Waterford, NY 12188-4003
Phone (518) 892-5008

Other practice location 1

650 Warren St
Albany, NY 12208-2998
Phone (518) 489-7777

Other practice location 2

4 Erie Ct
Waterford, NY 12188-4003
Phone (518) 892-5008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20200130001330 NY Practitioner - Clinical Social Worker 6305272949 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Professional Medical Concierge Services PLLCGroup PAC ID 0840614020, 75 clinicians

Practice addresses (Care Compare)

1785 Route 9
Halfmoon, NY 12065-2449
Phone (518) 238-6028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
088854NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Supportive Care Psychology of Ny PC CurrentSince Feb 15, 2020 Accepting new patients
Eastern Door Licensed Clinical Social Work, PC Clinical CurrentSince Nov 3, 2019 Accepting new patients
Professional Medical Concierge Services, PLLC Clinical CurrentSince Dec 11, 2020 Accepting new patients
Prime Care Physicians, P.L.L.C. Past Accepting new patients

Locations

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

325 Northern Blvd
Albany, NY 12204
Phone (518) 328-3605

1070 Luther Rd
East Greenbush, NY 12061
Phone (518) 479-4662

7810 164th St
Fresh Meadows, NY 11366
Phone (718) 429-2200

1785 Route 9
Halfmoon, NY 12065
Phone (518) 238-6028

170 Lake St
Liberty, NY 12754
Phone (845) 292-4200

330 Chestnut St
Oneonta, NY 13820
Phone (607) 432-8500

620 Washington Ave
Rensselaer, NY 12144
Phone (518) 210-2486

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, 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": "1572307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1649814062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 ERIE CT",
            "city": "WATERFORD",
            "state": "NY",
            "postal_code": "121884003",
            "telephone_number": "518-892-5008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 WASHINGTON AVE",
            "city": "RENSSELAER",
            "state": "NY",
            "postal_code": "121441300",
            "telephone_number": "518-252-7073"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "650 Warren St",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122082998",
            "country_code": "US",
            "telephone_number": "518-489-7777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4 Erie Ct",
            "address_purpose": "LOCATION",
            "city": "Waterford",
            "state": "NY",
            "postal_code": "121884003",
            "country_code": "US",
            "telephone_number": "518-892-5008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EMERSON",
        "first_name": "SHARON",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-29",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "088854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rensselaer, NY

Sources for this page

Verify at the official NPI Registry.