NPIMap

Organization Active NPI

Sharon Pell LCSW

  • Clinical Social Worker
  • Palm Bay, FL
National Provider Identifier
1174936066
Registry record updated Jun 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW1546 Issued in FL
Legal business name
SHARON PELL LCSW
Practice address
1555 Port Malabar Blvd NE
Palm Bay, FL 32905
Phone
(321) 729-0870
Fax
(321) 952-2516
NPI assigned
Jun 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2014

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

Authorized official

Name
Sharon Pell, LCSWNPI 1336148691
Title
Licensed Clinical Social Worker
Phone
(321) 729-0870

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X SW1546 FL Primary

Addresses

Primary practice location

1555 Port Malabar Blvd NE
Palm Bay, FL 32905

Mailing address

1555 Port Malabar Blvd NE
Palm Bay, FL 32905
Phone (321) 729-0870

National Provider Directory

National Provider Directory

Locations

1555 Port Malabar Blvd NE
Palm Bay, FL 32905
Phone (321) 729-0870

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402272000000",
    "number": "1174936066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 PORT MALABAR BLVD NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "32905",
            "telephone_number": "321-729-0870",
            "fax_number": "321-952-2516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 PORT MALABAR BLVD NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "32905",
            "telephone_number": "321-729-0870",
            "fax_number": "321-952-2516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARON PELL LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-09",
        "last_updated": "2014-06-09",
        "status": "A",
        "authorized_official_last_name": "PELL",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "321-729-0870",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW1546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; 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.