Active NPI
Sharon Kay Whitley, LCSW
- Social Worker
- Houston, TX
National Provider Identifier
1902846397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 19576
- Practice address
- 1300 Bay Area Blvd Ste 122B
Houston, TX 77058-2505 - Phone
- (361) 655-7719
- NPI assigned
- Jun 7, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 19576 | TX | Primary |
Addresses
Primary practice location
1300 Bay Area Blvd Ste 122B
Houston, TX 77058-2505
Mailing address
16107 Diana LN
Houston, TX 77062-4408
Phone (361) 655-7719
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 179247501 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060425000709 | TX | Practitioner - Clinical Social Worker | 1557371234 | Practice locations: Houston, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1300 Bay Area Blvd
Houston, TX 77058-2505
Phone (361) 655-7719
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deer Oaks Geriatric Services P C | Past | Accepting new patients | |
| Raul R Capitaine Mdpa | Past | Accepting new patients | |
| Orestes Romero MD PA | Past | Accepting new patients |
Organizations & group practices 3
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.
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- NPI 1134169287
-
- Family Medicine Physician
- Victoria, TX
- NPI 1821010786
-
- Psychiatry Physician
- Corpus Christi, TX
- NPI 1548445075
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596326400000",
"number": "1902846397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16107 DIANA LN",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770624408",
"telephone_number": "361-655-7719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 BAY AREA BLVD STE 122B",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770582505",
"telephone_number": "361-655-7719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITLEY",
"first_name": "SHARON",
"middle_name": "KAY",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-07",
"last_updated": "2020-08-02",
"certification_date": "2020-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "19576",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "179247501",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2020; 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.