Active NPI
Sharonda Jones, LCSW
- Clinical Social Worker
- Cary, NC
National Provider Identifier
1780345496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C010959
- Practice address
- 417 Kildaire Farm Rd
Cary, NC 27511-3433 - Phone
- (919) 443-9095
- Fax
- (919) 443-1004
- NPI assigned
- Jan 5, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | C010959 | NC | Primary |
Addresses
Primary practice location
417 Kildaire Farm Rd
Cary, NC 27511-3433
Mailing address
2510 Cedar Forest Way Apt 204
Raleigh, NC 27609-1124
Phone (336) 508-4986
Other practice location 1
2510 Cedar Forest Way Apt 204
Raleigh, NC 27609-1124
Phone (336) 508-4986
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
| License | State | Type | Specialty |
|---|---|---|---|
| C010959 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641340800000",
"number": "1780345496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2510 CEDAR FOREST WAY APT 204",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276091124",
"telephone_number": "336-508-4986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "417 KILDAIRE FARM RD",
"city": "CARY",
"state": "NC",
"postal_code": "275113433",
"telephone_number": "919-443-9095",
"fax_number": "919-443-1004"
}
],
"practiceLocations": [
{
"address_1": "2510 Cedar Forest Way Apt 204",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "276091124",
"country_code": "US",
"telephone_number": "336-508-4986",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JONES",
"first_name": "SHARONDA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-05",
"last_updated": "2022-01-05",
"certification_date": "2021-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C010959",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.