Active NPI
Jill Sheldon Counseling LLC
- Clinical Social Worker
- Deland, FL
National Provider Identifier
1578091385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW12121
- Legal business name
- JILL SHELDON COUNSELING LLC
- Practice address
- 333 W Wisconsin Ave
Deland, FL 32720-4132 - Phone
- (386) 337-4308
- NPI assigned
- May 24, 2017
- 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
- Ms. Jill Sheldon, LCSW
- Title
- MGR
- Phone
- (386) 337-4308
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW12121 | FL | Primary |
Addresses
Primary practice location
333 W Wisconsin Ave
Deland, FL 32720-4132
Mailing address
333 W Wisconsin Ave
Deland, FL 32720-4132
Phone (386) 337-4308
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Deland, FL
- NPI 1649707993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495584000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729468800000",
"number": "1578091385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 W WISCONSIN AVE",
"city": "DELAND",
"state": "FL",
"postal_code": "327204132",
"telephone_number": "386-337-4308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 W WISCONSIN AVE",
"city": "DELAND",
"state": "FL",
"postal_code": "327204132",
"telephone_number": "386-337-4308"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JILL SHELDON COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-05-24",
"last_updated": "2024-10-21",
"certification_date": "2024-10-21",
"status": "A",
"authorized_official_last_name": "SHELDON",
"authorized_official_first_name": "JILL",
"authorized_official_title_or_position": "MGR",
"authorized_official_telephone_number": "386-337-4308",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW12121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Deland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.