Mary Grey Shaginaw

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

6769 N Wickham Rd Ste B101
Melbourne, FL 32940-2048

Phone

(321) 321-1490

NPI assigned

Aug 18, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1755475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1205713617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 N ATLANTIC AVE APT A101",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "329313138",
            "telephone_number": "770-549-7041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6769 N WICKHAM RD STE B101",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329402048",
            "telephone_number": "321-321-1490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAGINAW",
        "first_name": "MARY GREY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-18",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristy Marie Severson, NP
• Erika Seward
• Tyler Dean Sexton, M.D.
• SF Carnegie LLC
• Michelle Shaber, APRN
• Ankit Shah
• Vrinda Shah, DMD
• Shangri-la of Melbourne Alf LLC
• Ravi Shankar, MD
• David S Shapiro, MD

• All providers in Melbourne, FL
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; 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.