Nancy Shaffer Klein

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

14651 Issued in FL

Practice address

1501 Robert J Conlan Blvd NE Ste 200
Palm Bay, FL 32905-3561

Phone

(321) 723-8823

Fax

(321) 723-9551

NPI assigned

Nov 3, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Blue Moon Senior Counseling

  • Clinical Social Worker
  • Plainfield, IL
  • NPI 1205129186

  FL

  Medicare reassignment NPD
• NSK Counseling, LLC

  • Clinical Social Worker
  • Palm Bay, FL
  • NPI 1710518519
  NPD Authorized official
• Water Leaf Surgery Center, LTD

  • Ambulatory Surgical Clinic/Center
  • Austin, TX
  • NPI 1437505948
  NPD (past)

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

{
    "created_epoch": "1446508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1235502022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 ROBERT J CONLAN BLVD NE STE 200",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329053561",
            "telephone_number": "321-723-8823",
            "fax_number": "321-723-9551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 ROBERT J CONLAN BLVD NE STE 200",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329053561",
            "telephone_number": "321-723-8823",
            "fax_number": "321-723-9551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1009 Maitland Center Commons Blvd",
            "address_2": "#212",
            "address_purpose": "LOCATION",
            "city": "Maitland",
            "state": "FL",
            "postal_code": "327517270",
            "country_code": "US",
            "telephone_number": "800-840-2528 x1",
            "fax_number": "321-400-5214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "NANCY",
        "middle_name": "SHAFFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-03",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "41456",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "14651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ebony King
• Roderick Joseph Kirk, D.C.
• Kirkland Ministry LLC
• Lawanna Kirkland
• Terence Allen Kitchens
• Kaylie Knapp
• Dave Kneessy, MS, MAC, MCAP, LMHC
• De'Edra L. Knight
• John Koehler, MD
• Reegan Koppelman

• Clinical Social Worker in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.