Active NPI
Charlotte H Shuler, MSW, LCSW
- Clinical Social Worker
- Bristol, FL
National Provider Identifier
1184839110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW 2669
- Practice address
- 10584 NW Azalea St
Bristol, FL 32321-3367 - Phone
- (850) 643-5551
- Fax
- (850) 643-3446
- NPI assigned
- May 12, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW 2669 | FL | Primary |
Addresses
Primary practice location
10584 NW Azalea St
Bristol, FL 32321-3367
Mailing address
PO Box 1120
Bristol, FL 32321-1120
Phone (850) 643-5551
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20994 | Other | FL | CHP, TALLAHASSEE, FL |
| 210416400 | Medicaid | FL | |
| Z4922 | Other | FL | BCBS-BRISTOL, FL |
| Z8243 | Other | FL | BCBS-TALLAHASSEE, FL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| SW 2669 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184839110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1120",
"city": "BRISTOL",
"state": "FL",
"postal_code": "323211120",
"telephone_number": "850-643-5551",
"fax_number": "850-643-3446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10584 NW AZALEA ST",
"city": "BRISTOL",
"state": "FL",
"postal_code": "323213367",
"telephone_number": "850-643-5551",
"fax_number": "850-643-3446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHULER",
"first_name": "CHARLOTTE",
"middle_name": "H",
"name_prefix": "Mrs.",
"credential": "MSW, LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW 2669",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHP, TALLAHASSEE, FL",
"identifier": "20994",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "210416400",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS-BRISTOL, FL",
"identifier": "Z4922",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS-TALLAHASSEE, FL",
"identifier": "Z8243",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bristol, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.