Individual provider Active NPI

Sharon Renee Michaels, LCSW,CAP

  • Clinical Social Worker
  • St Petersburg, FL
National Provider Identifier
1013008770
Registry record updated Mar 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4899 Issued in FL
Practice address
2600 Dr Martin Luther King Jr St N
Suite 301
St Petersburg, FL 33704
Phone
(727) 278-8375
NPI assigned
Sep 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 3177 FL
Clinical Social Worker 1041C0700X 4899 FL Primary

Addresses

Primary practice location

2600 Dr Martin Luther King Jr St N
Suite 301
St Petersburg, FL 33704

Mailing address

1260 S Martin Luther King Jr Ave Ste D
Clearwater, FL 33756-4172
Phone (727) 278-8375

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20051013000878 FL Practitioner - Clinical Social Worker 2769418326 Practice locations: Clearwater, FL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3177FLMDAddiction (Substance Use Disorder) Counselor
4899FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mindworks on Call PastSince Jun 1, 2014 Accepting new patients

Networks

  • devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
  • AL HMO D-SNP
  • FL PPO
  • FL HMO C-SNP
  • FL HMO
  • AL HMO
  • devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
  • devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
  • devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
  • FL HMO D-SNP

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583884800000",
    "number": "1013008770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 S MARTIN LUTHER KING JR AVE STE D",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337564172",
            "telephone_number": "727-278-8375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 DR MARTIN LUTHER KING JR ST N",
            "address_2": "SUITE 301",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "33704",
            "telephone_number": "727-278-8375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAELS",
        "first_name": "SHARON",
        "middle_name": "RENEE",
        "credential": "LCSW,CAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "3177",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "4899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.