Sharita Jenkins, LMSW
Individual provider Active NPI Social Worker · Harvest, AL
NPI 1649963141 · NPPES record last updated May 31, 2023
Key facts
- NPI
- 1649963141
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 5616G (AL)
- Practice address
- 307 Dorning Rd
Harvest, AL 35749-8936 - Phone
- (256) 278-9889
- NPI assigned
- May 31, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5616G | AL | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 5616G | AL | Yes |
Addresses
Primary practice location
307 Dorning Rd
Harvest, AL 35749-8936
Mailing address
307 Dorning Rd
Harvest, AL 35749-8936
Other providers in Harvest, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 31, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.