Individual provider Active NPI

Sharon T Rust, LICWS

  • Clinical Social Worker
  • Tiverton, RI
National Provider Identifier
1801907571
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW 01229 Issued in RI
Practice address
8 Neck Rd
Tiverton, RI 02878-4010
Phone
(401) 207-4316
Fax
(401) 207-4316
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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 ISW 01229 RI Primary

Addresses

Primary practice location

8 Neck Rd
Tiverton, RI 02878-4010

Mailing address

87 Bismark Ave
Tiverton, RI 02878-2034
Phone (401) 207-4316

Other identifiers 7

IdentifierTypeStateIssuer
340648OtherRITRI-CARE
1021100OtherNENHP - GROUP NUMBER
406910OtherRIBLUE CHIP
30641-2OtherRIBLUE CROSS/ BLUE SHIELD
311822OtherRIMAGELLAN- GROUP NUMBER
62-27979OtherRIUNITED BEHAVIORAL HEALTH
SR31997MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20111130000130 RI Practitioner - Clinical Social Worker 3779757851 Practice locations: Bristol, RI; Middletown, RI

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ISW 01229RIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1801907571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 BISMARK AVE",
            "city": "TIVERTON",
            "state": "RI",
            "postal_code": "028782034",
            "telephone_number": "401-207-4316",
            "fax_number": "401-375-5224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 NECK RD",
            "city": "TIVERTON",
            "state": "RI",
            "postal_code": "028784010",
            "telephone_number": "401-207-4316",
            "fax_number": "401-207-4316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUST",
        "first_name": "SHARON",
        "middle_name": "T",
        "name_prefix": "Mrs.",
        "credential": "LICWS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW 01229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRI-CARE",
            "identifier": "340648",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHP - GROUP NUMBER",
            "identifier": "1021100",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "406910",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/ BLUE SHIELD",
            "identifier": "30641-2",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN- GROUP NUMBER",
            "identifier": "311822",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "62-27979",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SR31997",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tiverton, RI

Sources for this page

Verify at the official NPI Registry.