Individual provider Active NPI

Shirley Deanna Merrett-Hall, LCSW

  • Clinical Social Worker
  • Key Largo, FL
National Provider Identifier
1306902473
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0003360 Issued in FL
Practice address
99551 Overseas Hwy
Suite # 205
Key Largo, FL 33037-4370
Phone
(305) 453-9522
NPI assigned
Dec 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 0003360 FL Primary

Addresses

Primary practice location

99551 Overseas Hwy
Suite # 205
Key Largo, FL 33037-4370

Mailing address

14798 SW 184TH St
Miami, FL 33187-1724
Phone (305) 253-5226

Other names 1

  • Ms. Shirley Deanna Hall Other 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
0003360FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Keys Counseling, LLC 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": "1167436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306902473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14798 SW 184TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331871724",
            "telephone_number": "305-253-5226",
            "fax_number": "305-253-5226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99551 OVERSEAS HWY",
            "address_2": "SUITE # 205",
            "city": "KEY LARGO",
            "state": "FL",
            "postal_code": "330374370",
            "telephone_number": "305-453-9522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRETT-HALL",
        "first_name": "SHIRLEY",
        "middle_name": "DEANNA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "0003360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHIRLEY",
            "last_name": "HALL",
            "middle_name": "DEANNA",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Key Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.