Sharon Roberson McKenzie

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P016398 Issued in NC

Practice address

6070 Old Liberty Rd
Franklinville, NC 27248-8325

Phone

(919) 437-4365

NPI assigned

Jul 23, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• At-Home Counseling Services, Inc.

  • Professional Counselor
  • Louisburg, NC
  • NPI 1437425113

  Clinical

  NPD (past)

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

{
    "created_epoch": "1626998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626998400000",
    "number": "1982277166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6070 OLD LIBERTY RD",
            "city": "FRANKLINVILLE",
            "state": "NC",
            "postal_code": "272488325",
            "telephone_number": "919-437-4365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6070 OLD LIBERTY RD",
            "city": "FRANKLINVILLE",
            "state": "NC",
            "postal_code": "272488325",
            "telephone_number": "919-437-4365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "SHARON",
        "middle_name": "ROBERSON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-23",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P016398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cp.integritysupport.com/default/",
            "affiliation": "N",
            "address_1": "6070 Old Liberty Rd",
            "city": "Franklinville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "272488325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Country Manor Rest Home Inc.
• Kristyn Hardin, MS, BCBA, LBA
• Heart to Heart Therapies, LLC
• Lia Johnson
• Julie Luann Long
• Nicholas Neighbors
• Cindy L Nykamp - Nickles, D.C
• Play ABA NC
• Tristan Romon Spencer
• Kirstin Thomas Wright, MS, CCC-SLP

• Clinical Social Worker in Franklinville, NC
• Providers in Franklinville, 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 Jul 23, 2021; 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.