Susan Shafran LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SUSAN SHAFRAN LLC

Practice address

55 SW 2ND Ave Apt 403
Boca Raton, FL 33432-4763

Phone

(718) 314-5450

Fax

(954) 507-6748

NPI assigned

Dec 3, 2024

Organization subpart

No

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

Authorized official

Name

Susan Shafran, LCSW

Title

Owner

Phone

(718) 314-5450

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1733184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733184000000",
    "number": "1043036379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 SW 2ND AVE APT 403",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334324763",
            "telephone_number": "718-314-5450",
            "fax_number": "954-507-6748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 SW 2ND AVE APT 403",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334324763",
            "telephone_number": "718-314-5450",
            "fax_number": "954-507-6748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN SHAFRAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-03",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A",
        "authorized_official_last_name": "SHAFRAN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-314-5450",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL BLUE#",
            "identifier": "E3ZMM",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN/MEDICARE",
            "identifier": "GT188A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Surgical Skin Specialists of South Florida LLC
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• Susan Levin, PH.D., P.a.
• Susan Patrick Rodell M D P a
• Susan Sagman PA
• Clinton Sutherland
• Amber Sutliff, LMHC
• Peter Lehmann Sutphen, PSY.D.
• Douglas Hoyt Sutton, ARNP
• Suzanne Pavlou MD PLLC

• Clinical Social Worker in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.