Individual provider Active NPI

Sharma Piersall, LMSW

  • Clinical Social Worker
  • New London, CT
National Provider Identifier
1912531138
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11571 Issued in CT
Practice address
21 Montauk Ave
New London, CT 06320-4906
Phone
(860) 439-6400
NPI assigned
Feb 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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 11571 CT Primary

Addresses

Primary practice location

21 Montauk Ave
New London, CT 06320-4906

Mailing address

230 Main Street Ext
Middletown, CT 06457-4470
Phone (860) 343-0604

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20210730000527 CT Practitioner - Clinical Social Worker 3274936091 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mellahealth LLCGroup PAC ID 9032528658, 23 clinicians
Sound Community Services IncGroup PAC ID 7517981517, 8 clinicians

Practice addresses (Care Compare)

125 Lasalle Rd
Suite 300
West Hartford, CT 06107-2311
Phone (860) 810-0587

21 Montauk Ave
New London, CT 06320-4906
Phone (860) 439-6400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mellahealth LLC Clinical CurrentSince Dec 26, 2024 Accepting new patients
Sound Community Services, Inc. CurrentSince Jan 22, 2024 Accepting new patients
Ruby Psychiatric Services, PLLC Past Accepting new patients
Urologic Associates, PC PastSince Jan 14, 2024 Accepting new patients

Locations

21 Montauk Ave
New London, CT 06320
Phone (860) 439-6400

125 Lasalle Rd
Ste 300
West Hartford, CT 06107
Phone (860) 342-8192

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/soundcommunityservices/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": "1582675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1912531138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 MAIN STREET EXT",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064574470",
            "telephone_number": "860-343-0604",
            "fax_number": "860-344-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 MONTAUK AVE",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063204906",
            "telephone_number": "860-439-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERSALL",
        "first_name": "SHARMA",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-26",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "11571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New London, CT

Sources for this page

Verify at the official NPI Registry.