Individual provider Active NPI

Sharon Nacson, L.I.S.W.

  • Clinical Social Worker
  • Shaker Heights, OH
National Provider Identifier
1841493822
Registry record updated May 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
S29990 Issued in OH
Practice address
19910 Malvern Rd # 207
Shaker Heights, OH 44122-2823
Phone
(216) 548-0578
NPI assigned
Jun 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X S29990 OH
Clinical Social Worker 1041C0700X S29990 OH Primary

Addresses

Primary practice location

19910 Malvern Rd # 207
Shaker Heights, OH 44122-2823

Mailing address

3347 Bradford Rd
Cleveland Heights, OH 44118-4229
Phone (216) 321-4867

Other identifiers 1

IdentifierTypeStateIssuer
000000361508OtherOHBC BS NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
S29990OHMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210032000000",
    "number": "1841493822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3347 BRADFORD RD",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441184229",
            "telephone_number": "216-321-4867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19910 MALVERN RD # 207",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441222823",
            "telephone_number": "216-548-0578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NACSON",
        "first_name": "SHARON",
        "name_prefix": "Mrs.",
        "credential": "L.I.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-07",
        "last_updated": "2008-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "S29990",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S29990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS NUMBER",
            "identifier": "000000361508",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shaker Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.