Individual provider Active NPI

Cindy Joylene Sharp, LICSW 4903C

  • Clinical Social Worker
  • Pelham, AL
National Provider Identifier
1881241263
Registry record updated Nov 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4903C Issued in AL
Practice address
262 Yeager Pkwy Ste F
Pelham, AL 35124-4884
Phone
(205) 282-9564
NPI assigned
Aug 21, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 4903C AL Primary

Addresses

Primary practice location

262 Yeager Pkwy Ste F
Pelham, AL 35124-4884

Mailing address

PO Box 277
Calera, AL 35040-0277
Phone (205) 586-5735

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL Theranest Health Information Exchange (HIE)
Other URL TherapyNotes Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4903CALMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cahaba Medical Care Foundation CurrentSince Oct 7, 2022 Accepting new patients
Cahaba Medical Care Foundation Single Specialty Current Accepting new patients
Cahaba Medical Care Foundation CurrentSince Oct 7, 2022 Accepting new patients
Reset Counseling and Consulting Services LLC Clinical CurrentSince Nov 16, 2021 Accepting new patients

Locations

405 Belcher St
Centreville, AL 35042
Phone (205) 926-4694

195 Hospital Dr
Centreville, AL 35042
Phone (205) 225-7455

262 Yeager Pkwy
Ste F
Pelham, AL 35124
Phone (205) 282-9564

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11347/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636329600000",
    "number": "1881241263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 277",
            "city": "CALERA",
            "state": "AL",
            "postal_code": "350400277",
            "telephone_number": "205-586-5735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 YEAGER PKWY STE F",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351244884",
            "telephone_number": "205-282-9564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARP",
        "first_name": "CINDY",
        "middle_name": "JOYLENE",
        "credential": "LICSW 4903C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-21",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "4903C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Theranest",
            "affiliation": "N",
            "endpointDescription": "EHR System",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health information",
            "address_1": "722 Memorial Dr",
            "city": "Bessemer",
            "state": "AL",
            "country_code": "US",
            "postal_code": "350226099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "TherapyNotes",
            "affiliation": "N",
            "endpointDescription": "EHR System",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health Information Exchange",
            "address_1": "262 Yeager Pkwy Ste F",
            "city": "Pelham",
            "state": "AL",
            "country_code": "US",
            "postal_code": "351244884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pelham, AL

Sources for this page

Verify at the official NPI Registry.