Sharon Elizabeth Wilburn, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2006036526 Issued in MO

Practice address

3151 Litton Rd
KCCC at Chillicothe Correctional Center
Chillicothe, MO 64601

Phone

(660) 646-4032

NPI assigned

May 12, 2010

Last updated

May 12, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

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

Specialty

Clinical Social Worker

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lavender Springs Behavioral Health LLCGroup PAC ID 6406296714, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Lavender Springs Behavioral Health LLC

  • Adult Mental Health Clinic/Center
  • Lenexa, KS
  • NPI 1164293502

  Clinical

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1273622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273622400000",
    "number": "1821316068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 POLK ST",
            "city": "CHILLICOTHE",
            "state": "MO",
            "postal_code": "646011262",
            "telephone_number": "660-383-6112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3151 LITTON RD",
            "address_2": "KCCC AT CHILLICOTHE CORRECTIONAL CENTER",
            "city": "CHILLICOTHE",
            "state": "MO",
            "postal_code": "64601",
            "telephone_number": "660-646-4032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILBURN",
        "first_name": "SHARON",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-12",
        "last_updated": "2010-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2006036526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alina H Waring, MD
• Well-House Chiro LLC (Well-House Chiro)
• Andrea Wenzel
• Chase Whiteside
• Jill Widner, MOT, OTR/L
• Ammie Wire, FNP-C
• Wize Guyz Taxi LLC
• Katie Jean Woodworth
• Lisa E York, APRN

• Clinical Social Worker in Chillicothe, MO
• Providers in Chillicothe, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2010; 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.

Verify at the official NPI Registry.