Individual provider Active NPI

Sheryl Faye Flores, LCSW,MSW

  • Clinical Social Worker
  • Sturgeon Bay, WI
National Provider Identifier
1316198765
Registry record updated Oct 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1510-123 Issued in WI
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, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2008

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 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

LicenseStateTypeSpecialty
1510-123WIMDClinical 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.

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.

Verify at the official NPI Registry.