Organization Active NPI

Shari Calderwood Counseling Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wellington, FL
National Provider Identifier
1457935207
Registry record updated May 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SHARI CALDERWOOD COUNSELING SERVICES, LLC
Practice address
12773 Forest Hill Blvd Ste 214
Wellington, FL 33414-4762
Phone
(561) 389-0493
NPI assigned
May 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2021

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

Authorized official

Name
Mrs. Shari Calderwood, LCSWNPI 1013591007
Title
Licensed Clinical Social Worker
Phone
(561) 389-0493

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

12773 Forest Hill Blvd Ste 214
Wellington, FL 33414-4762

Mailing address

753 Juniper PL
Wellington, FL 33414-8170
Phone (561) 389-0493

National Provider Directory

National Provider Directory

Locations

12773 Forest Hill Blvd
Ste 214
Wellington, FL 33414
Phone (561) 389-0493

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1620345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620345600000",
    "number": "1457935207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "753 JUNIPER PL",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334148170",
            "telephone_number": "561-389-0493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12773 FOREST HILL BLVD STE 214",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334144762",
            "telephone_number": "561-389-0493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARI CALDERWOOD COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-07",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A",
        "authorized_official_last_name": "CALDERWOOD",
        "authorized_official_first_name": "SHARI",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "561-389-0493",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.