Individual provider Active NPI

Sharon L Marks, L.C.S.W.

  • Clinical Social Worker
  • Napa, CA
National Provider Identifier
1972585172
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS13388 Issued in CA
Practice address
1767 Laurel St
Napa, CA 94559-3229
Phone
(707) 224-2027
Fax
(707) 224-2027
NPI assigned
Nov 15, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 LCS13388 CA Primary

Addresses

Primary practice location

1767 Laurel St
Napa, CA 94559-3229

Mailing address

1612 S Dora St
Ukiah, CA 95482-6519
Phone (707) 468-9030

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ43334ZOtherCABLUE SHIELD OF CA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20050627001290 CA Practitioner - Clinical Social Worker 6103861497 Practice locations: Napa, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1612 S Dora St
Ukiah, CA 95482-6519

1767 Laurel St
Napa, CA 94559-3229
Phone (707) 224-2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS13388CAMDClinical Social Worker
13388CAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972585172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 S DORA ST",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954826519",
            "telephone_number": "707-468-9030",
            "fax_number": "707-468-4313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1767 LAUREL ST",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945593229",
            "telephone_number": "707-224-2027",
            "fax_number": "707-224-2027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKS",
        "first_name": "SHARON",
        "middle_name": "L",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS13388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA",
            "identifier": "ZZZ43334Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Napa, CA

Sources for this page

Verify at the official NPI Registry.