Individual provider Active NPI

Gail Sandra Starr, LCSW CDE

  • Clinical Social Worker
  • Palm Beach Gardens, FL
National Provider Identifier
1093996910
Registry record updated Nov 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW5596 Issued in FL
Practice address
3450 Northlake Blvd
Suite 212 in Care of Ere Associates
Palm Beach Gardens, FL 33403-1712
Phone
(561) 626-8070
Fax
(561) 626-2828
NPI assigned
Nov 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2007

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 SW5596 FL Primary
Nutrition Education Nutritionist 133NN1002X 20020544 FL

Addresses

Primary practice location

3450 Northlake Blvd
Suite 212 in Care of Ere Associates
Palm Beach Gardens, FL 33403-1712

Mailing address

7325 SW 63Rd Ave
Suite 101 in Care of Ere Associates
South Miami, FL 33143-4812
Phone (305) 284-1143

Other identifiers 1

IdentifierTypeStateIssuer
Z083WOtherFLBCBS FLORIDA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW5596FLMDClinical Social Worker
20020544FLMDNutrition Education Nutritionist

NPI Registry JSON

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195516800000",
    "number": "1093996910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7325 SW 63RD AVE",
            "address_2": "SUITE 101 IN CARE OF ERE ASSOCIATES",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434812",
            "telephone_number": "305-284-1143",
            "fax_number": "305-667-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 NORTHLAKE BLVD",
            "address_2": "SUITE 212 IN CARE OF ERE ASSOCIATES",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334031712",
            "telephone_number": "561-626-8070",
            "fax_number": "561-626-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARR",
        "first_name": "GAIL",
        "middle_name": "SANDRA",
        "name_prefix": "Ms.",
        "credential": "LCSW CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-20",
        "last_updated": "2007-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW5596",
            "primary": true
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "FL",
            "license": "20020544",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FLORIDA",
            "identifier": "Z083W",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; 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.