Individual provider Active NPI

Sheriffa Gallwey, LCSW

  • Clinical Social Worker
  • Palm Coast, FL
National Provider Identifier
1114065190
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
07404-1 Issued in NY
Practice address
88 Roxboro Dr
Palm Coast, FL 32164-6920
Phone
(646) 713-4158
Fax
(386) 263-8945
NPI assigned
Feb 2, 2007
Last updated
Sep 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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 07404-1 NY Primary

Addresses

Primary practice location

88 Roxboro Dr
Palm Coast, FL 32164-6920

Mailing address

88 Roxboro Dr
Palm Coast, FL 32164-6920
Phone (646) 713-4158

Other practice location 1

46 Central Dr
Nanuet, NY 10954-1205
Phone (646) 713-4158

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL, NJ, NC, PA5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20110311000459 NY Practitioner - Clinical Social Worker 5698957652 Reassigns benefits to 1 organization
I20210428000732 FL Practitioner - Clinical Social Worker 5698957652 Reassigns benefits to 1 organization
Practice locations: Palm Coast, FL
I20230621002338 NJ Practitioner - Clinical Social Worker 5698957652 Reassigns benefits to 1 organization
I20230912004159 NC Practitioner - Clinical Social Worker 5698957652 Reassigns benefits to 1 organization
I20230914003558 PA Practitioner - Clinical Social Worker 5698957652 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07404-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sheriffa Gallwey, LCSW, PLLC Clinical CurrentSince Jul 8, 2024 Accepting new patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Aug 1, 2023 Accepting new patients
Grow Healthcare Group of New Jersey PC Clinical CurrentSince May 18, 2023 Accepting new patients
Sheriffa Gallwey, LCSW, PLLC Clinical Current Accepting new patients
The Mental Health Association of Westchester County - Social Care Network Past Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

3511 Shannon Rd
Fl 3
Durham, NC 27707
Phone (201) 293-7689

221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902

259 N Middletown Rd
Nanuet, NY 10954
Phone (845) 624-7200

165 Broadway
Fl 23
New York, NY 10006
Phone (202) 972-4964

1626 Locust St
Philadelphia, PA 19103
Phone (215) 709-3177

Interoperability endpoints

  • Direct secure messaging: sheriffagallwey@tdh.allscriptsdirect.net

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1114065190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 ROXBORO DR",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321646920",
            "telephone_number": "646-713-4158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 ROXBORO DR",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321646920",
            "telephone_number": "646-713-4158",
            "fax_number": "386-263-8945"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "46 Central Dr",
            "address_purpose": "LOCATION",
            "city": "Nanuet",
            "state": "NY",
            "postal_code": "109541205",
            "country_code": "US",
            "telephone_number": "646-713-4158",
            "fax_number": "386-263-8945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLWEY",
        "first_name": "SHERIFFA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "07404-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

Verify at the official NPI Registry.