Shelldyne Paola Joseph-Vassor, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW17600 Issued in FL

Practice address

7933 Venetian St
Miramar, FL 33023-2447

Phone

(754) 204-0974

NPI assigned

May 11, 2021

Last updated

May 11, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in FL, MI, TX, LA, MA5 enrollments

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 5

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shelldynevassor@tdh.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical, LA, MA, MI, TX

  Medicare reassignment NPD
• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Clinical

  NPD

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

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1295319630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7933 VENETIAN ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330232447",
            "telephone_number": "754-204-0974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7933 VENETIAN ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330232447",
            "telephone_number": "754-204-0974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH-VASSOR",
        "first_name": "SHELLDYNE",
        "middle_name": "PAOLA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-11",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW17600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Brookes Senior Concierge Services
• Hilda Jorge II
• Johanna Marie Jornadal, RN
• Sijo Jose
• Michecarine Joseph-Toussaint
• Abdul Joseph
• Angie Yana Joseph
• Berlande Joseph
• Cassandra Joseph
• Feemure Joseph

• Clinical Social Worker in Miramar, FL
• Providers in Miramar, 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 May 11, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.