Individual provider Active NPI

John Allan Shwed, PHD, LCSW

  • Clinical Social Worker
  • Boca Raton, FL
National Provider Identifier
1538187828
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4248 Issued in FL
Practice address
9033 Glades Rd
Boca Raton, FL 33434-3939
Phone
(561) 361-0500
Fax
(561) 479-0384
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 4248 FL Primary

Addresses

Primary practice location

9033 Glades Rd
Boca Raton, FL 33434-3939

Mailing address

5100 N Ocean Blvd
#1518
Lauderdale by the Sea, FL 33308-3036
Phone (954) 941-6570

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
4248FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Michas, Valentine & Gill, Psychiatric Associates, P.a. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538187828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 N OCEAN BLVD",
            "address_2": "#1518",
            "city": "LAUDERDALE BY THE SEA",
            "state": "FL",
            "postal_code": "333083036",
            "telephone_number": "954-941-6570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9033 GLADES RD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334343939",
            "telephone_number": "561-361-0500",
            "fax_number": "561-479-0384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHWED",
        "first_name": "JOHN",
        "middle_name": "ALLAN",
        "name_prefix": "Dr.",
        "credential": "PHD, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "4248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.