Individual provider Active NPI

Daniella N. Shaw, LCSW

  • Clinical Social Worker
  • Pembroke Pines, FL
National Provider Identifier
1285174623
Registry record updated Jul 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW17387 Issued in FL
Practice address
9050 Pines Blvd Ste 415-401
Pembroke Pines, FL 33024-6455
Phone
(561) 406-9915
NPI assigned
Mar 5, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2020

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 SW17387 FL Primary

Addresses

Primary practice location

9050 Pines Blvd Ste 415-401
Pembroke Pines, FL 33024-6455

Mailing address

201 Bonnie Blvd Apt 222
Palm Springs, FL 33461-1323
Phone (561) 406-9915

Other practice location 1

1901 S Congress Ave
Suite 370
Boynton Beach, FL 33426-6556
Phone (786) 346-1053

Other practice location 2

11911 US Highway 1 Ste 201-23
North Palm Beach, FL 33408-2827
Phone (561) 406-9915

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ncube Counseling Services Clinical Past Accepting new patients

Organizations & group practices 1

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": "1488672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1285174623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 BONNIE BLVD APT 222",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334611323",
            "telephone_number": "561-406-9915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9050 PINES BLVD STE 415-401",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246455",
            "telephone_number": "561-406-9915"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901 S Congress Ave",
            "address_2": "Suite 370",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334266556",
            "country_code": "US",
            "telephone_number": "786-346-1053",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11911 US Highway 1 Ste 201-23",
            "address_purpose": "LOCATION",
            "city": "North Palm Beach",
            "state": "FL",
            "postal_code": "334082827",
            "country_code": "US",
            "telephone_number": "561-406-9915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAW",
        "first_name": "DANIELLA",
        "middle_name": "N.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-05",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW17387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.