Individual provider Active NPI

Shamni Dougall, LCSW

  • Clinical Social Worker
  • Coral Springs, FL
National Provider Identifier
1518696277
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW18713 Issued in FL
Practice address
3301 N University Dr Ste 100
Coral Springs, FL 33065-4149
Phone
(954) 801-0408
NPI assigned
Jun 8, 2022
Last updated
Sep 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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 SW18713 FL Primary

Addresses

Primary practice location

3301 N University Dr Ste 100
Coral Springs, FL 33065-4149

Mailing address

8642 NW 79TH St
Tamarac, FL 33321-1661
Phone (954) 801-0408

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW18713FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The SD Mindset, LLC Current Accepting new patients
Pathway to Everyday Life Human Services Inc PastSince Aug 18, 2024 Accepting new patients

Locations

3301 N University Dr
Ste 100
Coral Springs, FL 33065
Phone (754) 757-9977

Organizations & group practices 2

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": "1654646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1518696277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8642 NW 79TH ST",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333211661",
            "telephone_number": "954-801-0408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 N UNIVERSITY DR STE 100",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654149",
            "telephone_number": "954-801-0408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGALL",
        "first_name": "SHAMNI",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-08",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW18713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.