Active NPI
Sheryl Welton, LCSW
- Community/Behavioral Health Agency
- Palm Bay, FL
National Provider Identifier
1538501168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- SW7473
- Legal business name
- SHERYL WELTON, LCSW
- Practice address
- 4630 Lipscomb St NE
Suite 2
Palm Bay, FL 32905-2940 - Phone
- (321) 600-0696
- Fax
- (321) 821-2340
- NPI assigned
- Jul 24, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Sheryl Anne Welton, LCSW
- Title
- Licensed Clinical Social Worker
- Phone
- (321) 600-0696
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | SW7473 | FL | Primary |
Addresses
Primary practice location
4630 Lipscomb St NE
Suite 2
Palm Bay, FL 32905-2940
Mailing address
4630 Lipscomb St NE
Suite 2
Palm Bay, FL 32905-2940
Phone (321) 600-0696
National Provider Directory
National Provider DirectoryLocations
4630 Lipscomb St NE
Ste 2
Palm Bay, FL 32905
Phone (321) 600-0696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374624000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1375747200000",
"number": "1538501168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4630 LIPSCOMB ST NE",
"address_2": "SUITE 2",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329052940",
"telephone_number": "321-600-0696",
"fax_number": "321-821-2340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4630 LIPSCOMB ST NE",
"address_2": "SUITE 2",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329052940",
"telephone_number": "321-600-0696",
"fax_number": "321-821-2340"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHERYL WELTON, LCSW",
"organizational_subpart": "NO",
"enumeration_date": "2013-07-24",
"last_updated": "2013-08-06",
"status": "A",
"authorized_official_last_name": "WELTON",
"authorized_official_first_name": "SHERYL",
"authorized_official_middle_name": "ANNE",
"authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
"authorized_official_telephone_number": "321-600-0696",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "FL",
"license": "SW7473",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Bay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.