Individual provider Active NPI

Sharon Gearin

  • Clinical Social Worker
  • Merritt Island, FL
National Provider Identifier
1801236427
Registry record updated Jun 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW3614 Issued in FL
Practice address
1230 Mercedes Dr
Merritt Island, FL 32952-6056
Phone
(321) 720-5923
NPI assigned
Jun 27, 2013
Last updated
Jun 27, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2013

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 SW3614 FL Primary

Addresses

Primary practice location

1230 Mercedes Dr
Merritt Island, FL 32952-6056

Mailing address

1230 Mercedes Dr
Merritt Island, FL 32952-6056

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20131213000860 FL Practitioner - Clinical Social Worker 2567699747 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Adult and Child Counseling and Psychiatric Center, P.aGroup PAC ID 0042403610, 13 clinicians

Practice addresses (Care Compare)

5545 N Wickham Rd
Suite 110
Melbourne, FL 32940-7323
Phone (321) 779-9838

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Jun 7, 2024 Accepting new patients
Adult & Child Counseling and Psychiatric Center, P.a. CurrentSince Dec 1, 2013 Accepting new patients

Locations

5545 N Wickham Rd
Ste 110
Melbourne, FL 32940
Phone (321) 452-5633

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Organizations & group practices 2

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": "1372291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372291200000",
    "number": "1801236427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 MERCEDES DR",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329526056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 MERCEDES DR",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329526056",
            "telephone_number": "321-720-5923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEARIN",
        "first_name": "SHARON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-27",
        "last_updated": "2013-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW3614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merritt Island, FL

Sources for this page

Verify at the official NPI Registry.