Individual provider Active NPI

Shirlene V Berkel, MSW, LCSW INTERN

  • Clinical Social Worker
  • Lakeland, FL
National Provider Identifier
1295245140
Registry record updated Oct 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW12071 Issued in FL
Practice address
5475 Wilmington Cir Apt 209
Lakeland, FL 33813-2764
Phone
(863) 808-6862
Fax
(863) 808-6862
NPI assigned
Oct 5, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2017

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 ISW12071 FL Primary

Addresses

Primary practice location

5475 Wilmington Cir Apt 209
Lakeland, FL 33813-2764

Mailing address

PO Box 6482
Lakeland, FL 33807-6482
Phone (863) 500-2480

Other names 1

  • Seeking Therapy and Reaching for Success Counseling Services Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ISW12071FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Seeking Therapy and Reaching for Success Counseling Servces 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": "1507161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507161600000",
    "number": "1295245140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6482",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338076482",
            "telephone_number": "863-500-2480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5475 WILMINGTON CIR APT 209",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132764",
            "telephone_number": "863-808-6862",
            "fax_number": "863-808-6862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERKEL",
        "first_name": "SHIRLENE",
        "middle_name": "V",
        "credential": "MSW, LCSW INTERN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-05",
        "last_updated": "2017-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "ISW12071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SEEKING THERAPY AND",
            "last_name": "COUNSELING SERVICES",
            "middle_name": "REACHING FOR SUCCESS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2017; 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.