Heather Fogle Shaver, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW12749 Issued in FL

Practice address

11335 Commercial St
Orlando, FL 32836-6216

Phone

(407) 259-8731

NPI assigned

Jun 14, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Ultima Rehab-FL LLC

  • Geriatric Physical Therapist
  • North Fort Myers, FL
  • NPI 1053970194
  NPD
• Banana Wind Medical Group, L.L.C

  • Home Health Agency
  • Orlando, FL
  • NPI 1245788595
  NPD (past)

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

{
    "created_epoch": "1465862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465862400000",
    "number": "1619327327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 W PINE ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328012610",
            "telephone_number": "407-259-8731",
            "fax_number": "407-876-4279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11335 COMMERCIAL ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328366216",
            "telephone_number": "407-259-8731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOGLE SHAVER",
        "first_name": "HEATHER",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-14",
        "last_updated": "2016-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW12749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Focused Nursing Solutions
• Fogarty Chiropractic Life Clinic of Orlando, PA
• Cynthia Ann Fogarty, AUD
• Robert S Fogarty, DC
• Wendy Fogg
• Nicole Fokos
• Barry Greg Foley, MD
• Cassidy Macdowell Foley, D.O.
• James Richard Foley, NP
• Karen M Foley, LCSW

• Clinical Social Worker in Orlando, FL
• Providers in Orlando, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; 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.