Individual provider Active NPI

Sharon Greaney-Watt, LCSW

  • Clinical Social Worker
  • Babylon, NY
National Provider Identifier
1851491534
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
030068-1 Issued in NY
Practice address
462 Deer Park Ave
Babylon, NY 11702-2316
Phone
(631) 422-0386
NPI assigned
Sep 23, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 030068-1 NY Primary

Addresses

Primary practice location

462 Deer Park Ave
Babylon, NY 11702-2316

Mailing address

462 Deer Park Ave
Babylon, NY 11702-2316
Phone (631) 422-0386

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20130708000023 NY Practitioner - Clinical Social Worker 1254571797 Practice locations: Babylon, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

462 Deer Park Ave
Babylon, NY 11702-2316
Phone (631) 422-0386

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
030068-1NYMDClinical Social Worker
030068NYMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1158969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851491534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "462 DEER PARK AVE",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117022316",
            "telephone_number": "631-422-0386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 DEER PARK AVE",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117022316",
            "telephone_number": "631-422-0386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREANEY-WATT",
        "first_name": "SHARON",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "030068-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Babylon, NY

Sources for this page

Verify at the official NPI Registry.