Individual provider Active NPI

Sharmaine Glover Cardenas, ACSW

  • Clinical Social Worker
  • Camarillo, CA
National Provider Identifier
1982104394
Registry record updated Nov 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
97169 Issued in CA
Practice address
PO Box 1101
Camarillo, CA 93011-1101
Phone
(805) 604-5278
NPI assigned
Feb 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 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 97169 CA Primary

Addresses

Primary practice location

PO Box 1101
Camarillo, CA 93011-1101

Mailing address

PO Box 1101
Camarillo, CA 93011-1101

Other practice location 1

333 S Beaudry Ave
Los Angeles, CA 90017-1466
Phone (213) 241-3841

Other practice location 2

9431 Haven Ave Ste 100
Rancho Cucamonga, CA 91730-5879
Phone (909) 719-0308 ext. 10005

Other practice location 3

1911 Williams Dr Ste 165
Oxnard, CA 93036-2612
Phone (805) 981-4208

Other practice location 4

441 N Central Ave Ste 6
Campbell, CA 95008-1428
Phone (408) 548-7546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
97169CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1518480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732924800000",
    "number": "1982104394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1101",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930111101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 1101",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930111101",
            "telephone_number": "805-604-5278"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 S Beaudry Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900171466",
            "country_code": "US",
            "telephone_number": "213-241-3841",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9431 Haven Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917305879",
            "country_code": "US",
            "telephone_number": "909-719-0308 x10005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1911 Williams Dr Ste 165",
            "address_purpose": "LOCATION",
            "city": "Oxnard",
            "state": "CA",
            "postal_code": "930362612",
            "country_code": "US",
            "telephone_number": "805-981-4208",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "441 N Central Ave Ste 6",
            "address_purpose": "LOCATION",
            "city": "Campbell",
            "state": "CA",
            "postal_code": "950081428",
            "country_code": "US",
            "telephone_number": "408-548-7546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARDENAS",
        "first_name": "SHARMAINE",
        "middle_name": "GLOVER",
        "credential": "ACSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-13",
        "last_updated": "2024-11-30",
        "certification_date": "2024-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "97169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2024; 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.