Individual provider Active NPI

Beth Shubert, LCSW

  • Clinical Social Worker
  • Gainesville, FL
National Provider Identifier
1285769570
Registry record updated Dec 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW1750 Issued in FL
Practice address
4131 NW 28TH LN Ste 6
Gainesville, FL 32606-7432
Phone
(352) 375-3001
NPI assigned
Feb 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2021

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 SW1750 FL Primary

Addresses

Primary practice location

4131 NW 28TH LN Ste 6
Gainesville, FL 32606-7432

Mailing address

4131 NW 28TH LN Ste 6
Gainesville, FL 32606-7432
Phone (352) 375-3001

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
I20120418000042 FL Practitioner - Clinical Social Worker 7113188236 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Pittsburgh School of Medicine, 1964
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4131 NW 28TH Lane
Suite 6
Gainesville, FL 32606-7432

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW1750FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Beth Shubert, PA Clinical CurrentSince Apr 18, 1997 Accepting new patients
Eric Diamond PHD PA CurrentSince Dec 21, 2021 Accepting new patients

Locations

4131 NW 28th Ln
Ste 6
Gainesville, FL 32606
Phone (352) 318-7150

2630 NW 41st St
Ste A
Gainesville, FL 32606
Phone (352) 373-7715

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": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639180800000",
    "number": "1285769570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4131 NW 28TH LN STE 6",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326067432",
            "telephone_number": "352-375-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4131 NW 28TH LN STE 6",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326067432",
            "telephone_number": "352-375-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUBERT",
        "first_name": "BETH",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2021-12-11",
        "certification_date": "2021-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW1750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.