Organization Active NPI

Sheryl Welton, LCSW

  • Community/Behavioral Health Agency
  • Palm Bay, FL
National Provider Identifier
1538501168
Registry record updated Aug 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
SW7473 Issued in FL
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

Updated by the provider on Aug 6, 2013

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.