Individual provider Active NPI

Tabitha Gallerani, LCSW

  • Clinical Social Worker
  • Pembroke Pines, FL
National Provider Identifier
1356626725
Registry record updated Aug 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW11180 Issued in FL
Practice address
9000 Sheridan St Ste 121
Pembroke Pines, FL 33024-8802
Phone
(954) 862-2252
Fax
(833) 383-1355
NPI assigned
Oct 18, 2011
Last updated
Aug 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2021

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 SW11180 FL Primary

Addresses

Primary practice location

9000 Sheridan St Ste 121
Pembroke Pines, FL 33024-8802

Mailing address

9000 Sheridan St Ste 121
Pembroke Pines, FL 33024-8802
Phone (954) 862-2252

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
SW11180FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Discover Peace, LLC CurrentSince Sep 5, 2021 Accepting new patients

Locations

9000 Sheridan St
Ste 121
Pembroke Pines, FL 33024
Phone (954) 552-7510

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": "1318896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1356626725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 SHERIDAN ST STE 121",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330248802",
            "telephone_number": "954-862-2252",
            "fax_number": "833-383-1355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 SHERIDAN ST STE 121",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330248802",
            "telephone_number": "954-862-2252",
            "fax_number": "833-383-1355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLERANI",
        "first_name": "TABITHA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-18",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW11180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; 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.