Individual provider Active NPI

Sherryl Makeever, LCSW

  • Clinical Social Worker
  • Jacksonville, FL
National Provider Identifier
1194077651
Registry record updated May 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW2240 Issued in FL
Practice address
6950 Philips Hwy
Suite11
Jacksonville, FL 32216-6074
Phone
(904) 239-3677
Fax
(804) 866-4029
NPI assigned
Oct 9, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2014

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 SW2240 FL Primary

Addresses

Primary practice location

6950 Philips Hwy
Suite11
Jacksonville, FL 32216-6074

Mailing address

PO Box 54723
Jacksonville, FL 32245-4723
Phone (904) 239-3677

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20140624002473 FL Practitioner - Clinical Social Worker 6800010380 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Diabetico Internacional, Inc. CurrentSince Jun 1, 2025 Accepting new patients
Integrative Psychiatric Solutions, LLC Past Accepting new patients

Locations

2520 University Blvd W
Jacksonville, FL 32217
Phone (904) 733-1444

Organizations & group practices 2

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": "1349740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400112000000",
    "number": "1194077651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 54723",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322454723",
            "telephone_number": "904-239-3677",
            "fax_number": "904-239-3278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6950 PHILIPS HWY",
            "address_2": "SUITE11",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166074",
            "telephone_number": "904-239-3677",
            "fax_number": "804-866-4029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKEEVER",
        "first_name": "SHERRYL",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-09",
        "last_updated": "2014-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW2240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.