Organization Active NPI

Shella Scully-Hilbert LCSW LLC

  • Community/Behavioral Health Agency
  • Saint Petersburg, FL
National Provider Identifier
1184249286
Registry record updated Jun 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SHELLA SCULLY-HILBERT LCSW LLC
Practice address
4244 Central Ave
Saint Petersburg, FL 33711-1140
Phone
(727) 295-5896
NPI assigned
Jun 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2020

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

Authorized official

Name
Shella Scully-Hilbert, LCSW
Title
Owner
Phone
(727) 295-5896

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

4244 Central Ave
Saint Petersburg, FL 33711-1140

Mailing address

1417 26TH St N
Saint Petersburg, FL 33713-5613
Phone (727) 295-5836

Other identifiers 1

IdentifierTypeStateIssuer
SW15174OtherFLSTATE OF FL - DEPT OF HEALTH

National Provider Directory

National Provider Directory

Locations

4244 Central Ave
St Petersburg, FL 33711
Phone (727) 295-5896

NPI Registry JSON

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

{
    "created_epoch": "1592179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592179200000",
    "number": "1184249286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 26TH ST N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337135613",
            "telephone_number": "727-295-5836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4244 CENTRAL AVE",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337111140",
            "telephone_number": "727-295-5896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELLA SCULLY-HILBERT LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-15",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A",
        "authorized_official_last_name": "SCULLY-HILBERT",
        "authorized_official_first_name": "SHELLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-295-5896",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF FL - DEPT OF HEALTH",
            "identifier": "SW15174",
            "state": "FL"
        }
    ],
    "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 Jun 15, 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.