Individual provider Active NPI

Sharon Suellen Link, MSW, LCSW

  • Clinical Social Worker
  • Joplin, MO
National Provider Identifier
1720319361
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2020011413 Issued in MO
Practice address
3125 N Lone Elm Ave
Joplin, MO 64801-7384
Phone
(307) 399-6794
NPI assigned
Jan 21, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 678 WY
Clinical Social Worker 1041C0700X 2977 OK
Clinical Social Worker 1041C0700X 2020011413 MO Primary

Addresses

Primary practice location

3125 N Lone Elm Ave
Joplin, MO 64801-7384

Mailing address

3125 N Lone Elm Ave
Joplin, MO 64801-7384
Phone (307) 399-6794

Other identifiers 1

IdentifierTypeStateIssuer
106079100MedicaidWY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20221227000770 MO Practitioner - Clinical Social Worker 4981732864 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

530 S Maiden LN
Joplin, MO 64801-3084
Phone (417) 782-6200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2977OKMDClinical Social Worker
678WYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ozark Tri-County Health Care Consortium CurrentSince Dec 1, 2022 Accepting new patients
Ozark Tri-County Health Care Consortium CurrentSince Dec 1, 2022 Accepting new patients
Ozark Tri-County Health Care Consortium Past Accepting new patients

Locations

340 Pleasant Ridge Rd
Anderson, MO 64831
Phone (417) 223-3303

100 Mustang Dr
Anderson, MO 64831

135 Mustang Dr
Anderson, MO 64831

927 N Highway 71
Anderson, MO 64831
Phone (417) 845-2273

512 Chapman St
Anderson, MO 64831

1810 S Carnation Dr
Aurora, MO 65605
Phone (417) 678-1260

4016 Main St
Cassville, MO 65625
Phone (417) 847-0057

119 White Rock Rd
Jane, MO 64856

530 S Maiden Ln
Joplin, MO 64801
Phone (417) 223-4385

210 W 10th St
Lamar, MO 64759
Phone (417) 681-0027

511 S Neosho Blvd
Neosho, MO 64850
Phone (417) 451-8682

318 Sulphur St
Noel, MO 64854

14762 W State Highway 90
Noel, MO 64854
Phone (417) 475-3900

202 E 8th St
Pineville, MO 64856

14814 E State Highway 76
Rocky Comfort, MO 64861

411 Academy St
South West City, MO 64863

116 McCall St
Wheaton, MO 64874
Phone (417) 652-3914

Interoperability endpoints

  • Direct secure messaging: sharon.link@othcdafc.eclinicaldirectplus.com

Organizations & group practices 3

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": "1264032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1720319361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 N LONE ELM AVE",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648017384",
            "telephone_number": "307-399-6794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 N LONE ELM AVE",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648017384",
            "telephone_number": "307-399-6794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINK",
        "first_name": "SHARON",
        "middle_name": "SUELLEN",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-21",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "678",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "2977",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2020011413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106079100",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

Verify at the official NPI Registry.