Individual provider Active NPI

Carol A Sharp, LCSW

  • Clinical Social Worker
  • Moneta, VA
National Provider Identifier
1891085734
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
006742 Issued in CT
Practice address
74 Scruggs Rd Ste 104
Moneta, VA 24121-6330
Phone
(540) 912-8204
NPI assigned
Apr 12, 2011
Last updated
Sep 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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 006742 CT Primary

Addresses

Primary practice location

74 Scruggs Rd Ste 104
Moneta, VA 24121-6330

Mailing address

74 Scruggs Rd Ste 104
Moneta, VA 24121-6330
Phone (860) 912-8204

Other practice location 1

165 Lawler Ln
Norwich, CT 06360-9435
Phone (860) 949-8311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110804000262 CT Practitioner - Clinical Social Worker 9830368026
I20230801000551 VA Practitioner - Clinical Social Worker 9830368026 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Westlake Counseling Services, LLCGroup PAC ID 4284092958, 2 clinicians

Practice addresses (Care Compare)

74 Scruggs Rd
Moneta, VA 24121-6330
Phone (860) 373-4400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006742CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Counseling Group Clinical CurrentSince Sep 24, 2023 Accepting new patients
Westlake Counseling Services, LLC Clinical CurrentSince Jun 18, 2023 Accepting new patients

Locations

74 Scruggs Rd
Ste 104
Moneta, VA 24121
Phone (540) 339-6308

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1302566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1891085734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 SCRUGGS RD STE 104",
            "city": "MONETA",
            "state": "VA",
            "postal_code": "241216330",
            "telephone_number": "860-912-8204",
            "fax_number": "860-949-8124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 SCRUGGS RD STE 104",
            "city": "MONETA",
            "state": "VA",
            "postal_code": "241216330",
            "telephone_number": "540-912-8204"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "165 Lawler Ln",
            "address_purpose": "LOCATION",
            "city": "Norwich",
            "state": "CT",
            "postal_code": "063609435",
            "country_code": "US",
            "telephone_number": "860-949-8311",
            "fax_number": "860-949-8124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHARP",
        "first_name": "CAROL",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-12",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "006742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moneta, VA

Sources for this page

Verify at the official NPI Registry.