Individual provider Active NPI

Sherly Millan

  • Clinical Social Worker
  • Coral Springs, FL
National Provider Identifier
1053047191
Registry record updated Aug 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LICSW1141015 Issued in MA
Practice address
5000 Chardonnay Dr
Coral Springs, FL 33067-4122
Phone
(617) 286-5581
NPI assigned
Jul 30, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LICSW1141015 MA Primary
Clinical Social Worker 1041C0700X SW24325 FL

Addresses

Primary practice location

5000 Chardonnay Dr
Coral Springs, FL 33067-4122

Mailing address

5000 Chardonnay Dr
Coral Springs, FL 33067-4122
Phone (617) 286-5581

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sherly.millan@emdrunlocked.com Direct

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
I20250718000828 FL Practitioner - Mental Health Counselor 8921514837 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Seasons Psychotherapy Associates LLC Clinical CurrentSince Jun 12, 2025 Accepting new patients
Seasons Psychotherapy Associates LLC Clinical Current Accepting new patients
Emdr Unlocked LLC Clinical Current Accepting new patients
Seasons Psychotherapy Associates LLC Clinical Past Accepting new patients

Locations

10139 NW 31st St
Ste 102
Coral Springs, FL 33065
Phone (954) 342-0982

12505 Orange Dr
Ste 901
Davie, FL 33330
Phone (954) 342-0982

2601 E Oakland Park Blvd
Ste 205
Ft Lauderdale, FL 33306
Phone (954) 342-0982

3750 Gunn Hwy
Ste 101
Tampa, FL 33618
Phone (813) 592-8600

Interoperability endpoints

  • Direct secure messaging: sherly.millan@emdrunlocked.com

Organizations & group practices 4

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": "1659139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786838400000",
    "number": "1053047191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 CHARDONNAY DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330674122",
            "telephone_number": "617-286-5581",
            "fax_number": "781-386-2591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 CHARDONNAY DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330674122",
            "telephone_number": "617-286-5581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLAN",
        "first_name": "SHERLY",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-30",
        "last_updated": "2026-08-16",
        "certification_date": "2026-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "LICSW1141015",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW24325",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sherly.millan@emdrunlocked.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5000 Chardonnay Dr",
            "city": "Coral Springs",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330674122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.