Sharon Peterson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW005478 Issued in GA

Practice address

2002 Macy Dr
Roswell, GA 30076-6346

Phone

(410) 440-3074

NPI assigned

Mar 15, 2007

Sex

Female

Sole proprietor

Yes

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 GA

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, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/7494/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Emotional Wellness of Roswell

  • Clinical Social Worker
  • Roswell, GA
  • NPI 1841927407
  Medicare reassignment NPD Authorized official
• Lynch Physical Therapy, LLC

  • Physical Therapist
  • Towson, MD
  • NPI 1861042954
  NPD (past)
• Nephrology Center of Maryland, PA

  • Nephrology Physician
  • Baltimore, MD
  • NPI 1518932862
  NPD (past)
• Sheppard Pratt Physicians, P.a.

  • Psychiatry Physician
  • Baltimore, MD
  • NPI 1518990712
  NPD (past)
• The Resource Group

  • Cognitive & Behavioral Psychologist
  • Towson, MD
  • NPI 1235271339
  NPD (past)

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1841324324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 LYNDHURST WAY",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300752574",
            "telephone_number": "410-440-3074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 MACY DR",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300766346",
            "telephone_number": "410-440-3074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "SHARON",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW005478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Perimeter North Internal Medicine, PC
• Mariela Betina Perosino, D.C.
• Blake Perry, RBT
• Perspective Mental Health and Addiction, LLC
• Muhammad Ali Pervaiz, MD
• Virginia Ann Peterson, FNP-C
• Adam Joseph Pettigrew, M.D.
• Lovel Phadael, RCP
• Huong Pham, PHARMD
• Pharmacy Home Delivery

• Clinical Social Worker in Roswell, GA
• Providers in Roswell, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.