Individual provider Active NPI

Alexandra Elias Sharman, LIACSW

  • Clinical Social Worker
  • Mercer Island, WA
National Provider Identifier
1730786252
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
61089012 Issued in WA
Practice address
5735 91St Ave SE
Mercer Island, WA 98040-5032
Phone
(206) 707-2611
NPI assigned
Oct 7, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

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 61089012 WA Primary

Addresses

Primary practice location

5735 91St Ave SE
Mercer Island, WA 98040-5032

Mailing address

5735 91St Ave SE
Mercer Island, WA 98040-5032
Phone (206) 707-2611

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
61089012WAMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1602028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1730786252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5735 91ST AVE SE",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980405032",
            "telephone_number": "206-707-2611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5735 91ST AVE SE",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980405032",
            "telephone_number": "206-707-2611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARMAN",
        "first_name": "ALEXANDRA",
        "middle_name": "ELIAS",
        "credential": "LIACSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-07",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "61089012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mercer Island, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.