Individual provider Active NPI

Elizabeth Andrea Shoemaker

  • Clinical Social Worker
  • Milton, FL
National Provider Identifier
1043601701
Registry record updated Feb 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW11636 Issued in FL
Practice address
5661 Fairview Dr
Milton, FL 32570-8234
Phone
(850) 981-1000
NPI assigned
Feb 16, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW11636 FL Primary

Addresses

Primary practice location

5661 Fairview Dr
Milton, FL 32570-8234

Mailing address

5661 Fairview Dr
Milton, FL 32570-8234
Phone (850) 981-1000

Other names 1

  • Elizabeth Andrea Shoemaker Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20180122001936 AL Practitioner - Clinical Social Worker 5799096236 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Behavioral Health IncGroup PAC ID 7416194113, 109 clinicians

Practice addresses (Care Compare)

4087 U S
Suite 31
Falkville, AL 35622-6319
Phone (931) 427-6052

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Behavioral Health, Inc. Clinical CurrentSince Sep 2, 2017 Accepting new patients

Locations

42024 Highway 195
Haleyville, AL 35565
Phone (205) 485-7371

1111 Wayne Rd NW
Ste 6
Huntsville, AL 35806
Phone (256) 270-1955

5315 Millennium Dr NW
Huntsville, AL 35806
Phone (256) 964-6700

600 Sun Temple Dr
Madison, AL 35758
Phone (256) 325-2627

1800 Beverly Ave
Muscle Shoals, AL 35661
Phone (256) 320-7475

25850 Main St
Ardmore, TN 38449
Phone (931) 427-4050

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": "1424044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424044800000",
    "number": "1043601701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5661 FAIRVIEW DR",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325708234",
            "telephone_number": "850-981-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5661 FAIRVIEW DR",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325708234",
            "telephone_number": "850-981-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOEMAKER",
        "first_name": "ELIZABETH",
        "middle_name": "ANDREA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-16",
        "last_updated": "2015-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW11636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "SHOEMAKER",
            "middle_name": "ANDREA",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Milton, FL

Sources for this page

Verify at the official NPI Registry.