Active NPI
Gail Sandra Starr, LCSW CDE
- Clinical Social Worker
- Palm Beach Gardens, FL
National Provider Identifier
1093996910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW5596
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z083W | Other | FL | BCBS 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
| License | State | Type | Specialty |
|---|---|---|---|
| SW5596 | FL | MD | Clinical Social Worker |
| 20020544 | FL | MD | Nutrition 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.