Active NPI
Sheryl Faye Flores, LCSW,MSW
- Clinical Social Worker
- Sturgeon Bay, WI
National Provider Identifier
1316198765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1510-123
- Practice address
- 421 Nebraska Street
Door County Community Programs
Sturgeon Bay, WI 54235 - Phone
- (920) 746-2345
- Fax
- (920) 746-2439
- NPI assigned
- Oct 3, 2008
- Last updated
- Oct 6, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1510-123 | WI | Primary |
Addresses
Primary practice location
421 Nebraska Street
Door County Community Programs
Sturgeon Bay, WI 54235
Mailing address
610 Rockland Rd
De Pere, WI 54115-8648
Phone (920) 737-3973
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1510-123 | WI | MD | Clinical Social Worker |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Door County Community Support Program
- Clinical Social Worker
- Sturgeon Bay, WI
- NPI 1558518076
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223251200000",
"number": "1316198765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 ROCKLAND RD",
"city": "DE PERE",
"state": "WI",
"postal_code": "541158648",
"telephone_number": "920-737-3973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "421 NEBRASKA STREET",
"address_2": "DOOR COUNTY COMMUNITY PROGRAMS",
"city": "STURGEON BAY",
"state": "WI",
"postal_code": "54235",
"telephone_number": "920-746-2345",
"fax_number": "920-746-2439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLORES",
"first_name": "SHERYL",
"middle_name": "FAYE",
"name_prefix": "Ms.",
"credential": "LCSW,MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-03",
"last_updated": "2008-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "1510-123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sturgeon Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.