Individual provider Active NPI

Shelisa Sonya Hyde-Pinnock

  • Clinical Social Worker
  • North Lauderdale, FL
National Provider Identifier
1427993021
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW25417 Issued in FL
Practice address
6008 SW 19TH PL
North Lauderdale, FL 33068-4621
Phone
(954) 716-2691
NPI assigned
Apr 21, 2026
Last updated
Apr 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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 SW25417 FL Primary

Addresses

Primary practice location

6008 SW 19TH PL
North Lauderdale, FL 33068-4621

Mailing address

6008 SW 19TH PL
North Lauderdale, FL 33068-4621
Phone (954) 716-2691

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
SW25417FLMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1776729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1427993021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6008 SW 19TH PL",
            "city": "NORTH LAUDERDALE",
            "state": "FL",
            "postal_code": "330684621",
            "telephone_number": "954-716-2691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6008 SW 19TH PL",
            "city": "NORTH LAUDERDALE",
            "state": "FL",
            "postal_code": "330684621",
            "telephone_number": "954-716-2691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYDE-PINNOCK",
        "first_name": "SHELISA",
        "middle_name": "SONYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-04-21",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW25417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; 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.