Organization Active NPI

Sherrie a. Cameron LCSW, LLC

  • Clinical Social Worker
  • Winter Park, FL
National Provider Identifier
1386945871
Registry record updated Aug 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2987 Issued in FL
Legal business name
SHERRIE A. CAMERON LCSW, LLC
Practice address
1850 Lee Rd
Suite 114
Winter Park, FL 32789-2115
Phone
(407) 516-9661
NPI assigned
Nov 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Sherrie Anita Cameron, LCSWNPI 1285947606
Title
Manager
Phone
(407) 516-9661

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 2987 FL Primary

Addresses

Primary practice location

1850 Lee Rd
Suite 114
Winter Park, FL 32789-2115

Mailing address

1850 Lee Rd
Suite 114
Winter Park, FL 32789-2115
Phone (407) 516-9661

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110309000382 FL Part B Supplier - Clinic/Group Practice 1951583137 Receives reassigned benefits from 1 practitioner
Practice locations: Winter Park, FL

National Provider Directory

National Provider Directory

Locations

1850 Lee Rd
Ste 219
Winter Park, FL 32789
Phone (407) 516-9661

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1289779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440460800000",
    "number": "1386945871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 LEE RD",
            "address_2": "SUITE 114",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892115",
            "telephone_number": "407-516-9661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 LEE RD",
            "address_2": "SUITE 114",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892115",
            "telephone_number": "407-516-9661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERRIE A. CAMERON LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-15",
        "last_updated": "2015-08-25",
        "status": "A",
        "authorized_official_last_name": "CAMERON",
        "authorized_official_first_name": "SHERRIE",
        "authorized_official_middle_name": "ANITA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "407-516-9661",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "2987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.