Sharon Nicole Hall-Rucker, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P015533 Issued in NC

Practice address

1117 Matchstick PL SW
Concord, NC 28025-4718

Phone

(980) 254-2489

NPI assigned

May 1, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1932898459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 MATCHSTICK PL SW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280254718",
            "telephone_number": "980-254-2489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 MATCHSTICK PL SW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280254718",
            "telephone_number": "980-254-2489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL-RUCKER",
        "first_name": "SHARON",
        "middle_name": "NICOLE",
        "credential": "LCSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P015533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret A Hairston, RN, BSN
• Tyeisha Nichole Hairston
• Carolyn April Halbur
• Jennifer Brooke Hale, MD
• Haley Assisted Transportation
• Debra Hall, ANP
• Dennis L Hall Jr., D.C.
• Dennis Laverne Hall Sr., D.C.
• George D Hall, MD
• Kirstyn Hall

• Clinical Social Worker in Concord, NC
• Providers in Concord, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.