Organization Active NPI

Sheriffa Gallwey, LCSW, PLLC

  • Clinical Social Worker
  • Palm Coast, FL
National Provider Identifier
1023727658
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SHERIFFA GALLWEY, LCSW, PLLC
Practice address
88 Roxboro Drive, Palm Coast, FL, USA
Palm Coast, FL 32164
Phone
(646) 713-4158
Fax
(845) 623-0149
NPI assigned
Nov 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Authorized official

Name
Dr. Sheriffa Gallwey, LCSWNPI 1114065190
Title
Director
Phone
(646) 713-4158

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

88 Roxboro Drive, Palm Coast, FL, USA
Palm Coast, FL 32164

Mailing address

88 Roxboro Drive, Palm Coast, FL, USA
Palm Coast, FL 32164
Phone (646) 713-4158

Other names 2

  • Sheriffa Gallwey Other name
  • Sheriffa Gallwey, LCSW, PLLC Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1669075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722902400000",
    "number": "1023727658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 ROXBORO DRIVE, PALM COAST, FL, USA",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "32164",
            "telephone_number": "646-713-4158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 ROXBORO DRIVE, PALM COAST, FL, USA",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "32164",
            "telephone_number": "646-713-4158",
            "fax_number": "845-623-0149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERIFFA GALLWEY, LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-22",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A",
        "authorized_official_last_name": "GALLWEY",
        "authorized_official_first_name": "SHERIFFA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "646-713-4158",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sheriffa Gallwey",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Sheriffa Gallwey, LCSW, PLLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Palm Coast, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.