Individual provider Active NPI

Shelda Francois, LCSW, LMAC

  • Clinical Social Worker
  • Saint Petersburg, FL
National Provider Identifier
1164893467
Registry record updated Dec 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
17122 Issued in FL
Practice address
587 77TH Ave N
Saint Petersburg, FL 33702-4384
Phone
(727) 222-3428
NPI assigned
Oct 13, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 340 KS
Clinical Social Worker 1041C0700X 17122 FL Primary

Addresses

Primary practice location

587 77TH Ave N
Saint Petersburg, FL 33702-4384

Mailing address

PO Box 56902
St Petersburg, FL 33732
Phone (727) 222-3428

Other practice location 1

421 E 137th St
Kansas City, MO 64145-1455
Phone (816) 508-3600 ext. 3651

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

State licenses

LicenseStateTypeSpecialty
340KSMDAddiction (Substance Use Disorder) Counselor
17122FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ozanam Past Accepting new patients

Organizations & group practices 1

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": "1444694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607904000000",
    "number": "1164893467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 56902",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "33732",
            "telephone_number": "727-222-3428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "587 77TH AVE N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337024384",
            "telephone_number": "727-222-3428"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "421 E 137th St",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641451455",
            "country_code": "US",
            "telephone_number": "816-508-3600 x3651",
            "fax_number": "816-508-3797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRANCOIS",
        "first_name": "SHELDA",
        "credential": "LCSW, LMAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-13",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KS",
            "license": "340",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "17122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2020; 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.