Active NPI
Sharon T Rust, LICWS
- Clinical Social Worker
- Tiverton, RI
National Provider Identifier
1801907571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ISW 01229
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 340648 | Other | RI | TRI-CARE |
| 1021100 | Other | NE | NHP - GROUP NUMBER |
| 406910 | Other | RI | BLUE CHIP |
| 30641-2 | Other | RI | BLUE CROSS/ BLUE SHIELD |
| 311822 | Other | RI | MAGELLAN- GROUP NUMBER |
| 62-27979 | Other | RI | UNITED BEHAVIORAL HEALTH |
| SR31997 | Medicaid | RI |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| ISW 01229 | RI | MD | Clinical 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.