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Deactivated NPI 1154433159 Deactivated / Inactive NPI Female Practitioner

Sharon Wise , LCSW

Social Worker - Clinical • Edmonton, KY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Sharon Wise has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 31, 2006
NPI Deactivation Date December 13, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Sharon Wise, LCSW was a registered Social Worker - Clinical practicing in Edmonton, KY. Throughout an active medical career spanning 17 years, Sharon Wise provided care at the practice location at 112 SARTIN DRIVE until profile deactivation on 2023-12-13.

Historical Medicare Part B clinical services included psychotherapy, psychiatric diagnostic evaluation. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

112 Sartin Drive

Edmonton, KY 42129

Telephone 2704322266
Fax 2704325054

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Edmonton, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.0 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
4 Specialists

Practicing in Edmonton, KY (4170 Statewide)

Telehealth Adoption Rate
50.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
51.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90834 Psychotherapy, 45 minutes
39 16 $115.00 $64.06
90832 Psychotherapy, 30 minutes
29 19 $114.41 $48.41

Medical Specialties & State Licenses

Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License KY 1607

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners
NPI 1114128543
Michelle Graves

Case Manager/Care Coordinator

NPI 1124305560
Tony Rutherford , CASE MANAGER

Case Manager/Care Coordinator

NPI 1144419532

CASEMANAGER

Mark Saderholm , LPCC

Counselor - Professional

NPI 1265567549

Licensed Professional Clinical Counselor

Nancy Barrett , ARNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1285771295

Advanced Registered Nurse Practitioner

Deloris Garrett , CASE MANAGER

Case Manager/Care Coordinator

NPI 1346422326

CASEMANAGER

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated December 13, 2023

Record deactivated on December 13, 2023

NPI Profile Active June 06, 2014

NPI status registered as active in NPPES database

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Updated Practice Location June 06, 2014

Registered at 112 SARTIN DRIVE, EDMONTON, KY 42129 (Tel: 2704322266)

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Updated Business Mailing Address June 06, 2014

Registered at 600 FERRIS CREEK RD, DUBRE, KY 427318551 (Tel: 2709015000)

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Provider Name / Credentials Updated June 06, 2014

Recorded as SHARON WISE, LCSW

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 06, 2014

Social Worker (License #1607 in KY)

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Initial NPI Registration & Enumeration August 31, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1154433159
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 31, 2006
Last Update: June 06, 2014
Deactivation Date: December 13, 2023

Mailing Address

600 Ferris Creek Rd

Dubre, KY 427318551

Phone: 2709015000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.