Active NPI
Shari M. Lewis-White, LCSW, BCABA
- Clinical Social Worker
- Satellite Beach, FL
National Provider Identifier
1104057660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW7937
- Practice address
- 1275 S Patrick Dr
Ste C
Satellite Beach, FL 32937-3963 - Phone
- (321) 779-0213
- Fax
- (321) 773-0497
- NPI assigned
- Aug 1, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 0-01-0238 | FL | |
| Clinical Social Worker | 1041C0700X | SW7937 | FL | Primary |
Addresses
Primary practice location
1275 S Patrick Dr
Ste C
Satellite Beach, FL 32937-3963
Mailing address
1275 S Patrick Dr
Suite C
Satellite Beach, FL 32937-3963
Phone (321) 779-0213
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jennings' Applied Behavior & Cognitive Center, Inc. | Past | Accepting new patients | |
| John P McDonough III | Multi-Specialty | Past | Accepting new patients |
| GPS II | Multi-Specialty | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Mental Health Counselor
- Satellite Beach, FL
- NPI 1700983426
-
dba Geriatric Psychological Specialists
- Psychologist
- Tampa, FL
- NPI 1346280161
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268265600000",
"number": "1104057660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1275 S PATRICK DR",
"address_2": "SUITE C",
"city": "SATELLITE BEACH",
"state": "FL",
"postal_code": "329373963",
"telephone_number": "321-779-0213",
"fax_number": "321-773-0497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1275 S PATRICK DR",
"address_2": "STE C",
"city": "SATELLITE BEACH",
"state": "FL",
"postal_code": "329373963",
"telephone_number": "321-779-0213",
"fax_number": "321-773-0497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS-WHITE",
"first_name": "SHARI",
"middle_name": "M.",
"name_prefix": "Mrs.",
"credential": "LCSW, BCABA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-01",
"last_updated": "2010-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "0-01-0238",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW7937",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Satellite Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.