Individual provider Active NPI

Sheila Bilak, MSW, LCSW

  • Clinical Social Worker
  • Gainesville, FL
National Provider Identifier
1396824231
Registry record updated Aug 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW0001055 Issued in FL
Practice address
310 NW 76TH Dr
Suite a
Gainesville, FL 32607-1593
Phone
(352) 331-8010
Fax
(352) 331-6323
NPI assigned
Nov 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2015

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 SW0001055 FL Primary

Addresses

Primary practice location

310 NW 76TH Dr
Suite a
Gainesville, FL 32607-1593

Mailing address

310 NW 76TH Dr
Suite a
Gainesville, FL 32607-1593
Phone (352) 331-8010

Other identifiers 1

IdentifierTypeStateIssuer
Z0949OtherFLBLUE CROSS BLUE SHIELD -

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120130000903 FL Practitioner - Clinical Social Worker 5597922781 Practice locations: Gainesville, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

310 NW 76TH Dr
Suite a
Gainesville, FL 32607-6661

310 NW 76TH Dr a
Gainesville, FL 32607-6661
Phone (352) 331-8010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439942400000",
    "number": "1396824231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 NW 76TH DR",
            "address_2": "SUITE A",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326071593",
            "telephone_number": "352-331-8010",
            "fax_number": "352-331-6323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 NW 76TH DR",
            "address_2": "SUITE A",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326071593",
            "telephone_number": "352-331-8010",
            "fax_number": "352-331-6323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILAK",
        "first_name": "SHEILA",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2015-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW0001055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD -",
            "identifier": "Z0949",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.