Active NPI
Sharon Beesley, LCSW
- Clinical Social Worker
- Trumbull, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 11502
- Practice address
- 112 Quarry Rd
Trumbull, CT 06611-4848 - Phone
- (203) 384-3388
- NPI assigned
- Jun 28, 2021
- Last updated
- Jun 28, 2021
- 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 | 11502 | CT | Primary |
Addresses
Primary practice location
112 Quarry Rd
Trumbull, CT 06611-4848
Mailing address
112 Quarry Rd
Trumbull, CT 06611-4848
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
125 Lasalle Rd
Suite 300
West Hartford, CT 06107-2311
Phone (860) 810-0587
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Medical Group, Inc. | Clinical | Current | Accepting new patients |
| Mellahealth LLC | Clinical | Current | Accepting new patients |
Locations
95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388
112 Quarry Rd
Trumbull, CT 06611
Phone (203) 374-1515
125 Lasalle Rd
Ste 300
West Hartford, CT 06107
Phone (860) 810-0587
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": "1624838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624838400000",
"number": "1801466404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 QUARRY RD",
"city": "TRUMBULL",
"state": "CT",
"postal_code": "066114848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 QUARRY RD",
"city": "TRUMBULL",
"state": "CT",
"postal_code": "066114848",
"telephone_number": "203-384-3388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEESLEY",
"first_name": "SHARON",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-28",
"last_updated": "2021-06-28",
"certification_date": "2021-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "11502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Trumbull, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.