Individual provider Active NPI

Shabu Abraham Varghese, LCSW

  • Clinical Social Worker
  • Tampa, FL
National Provider Identifier
1649499641
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW8095 Issued in FL
Practice address
13902 N Dale Mabry Hwy Ste 118
Tampa, FL 33618-2424
Phone
(813) 892-1252
NPI assigned
Apr 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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 SW8095 FL Primary

Addresses

Primary practice location

13902 N Dale Mabry Hwy Ste 118
Tampa, FL 33618-2424

Mailing address

13902 N Dale Mabry Hwy Ste 118
Tampa, FL 33618-2424
Phone (813) 892-1252

Other practice location 1

8002 King Helie Blvd Fl 3
New Port Richey, FL 34653-1435
Phone (813) 281-9390

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Shabu.Vargheselcsw@direct.mybaycare.org Health Information Exchange (HIE) BayCare Medical Group, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081112000453 FL Practitioner - Clinical Social Worker 0042379562 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baycare Behavioral Health IncGroup PAC ID 4688649122, 58 clinicians

Practice addresses (Care Compare)

13902 N Dale Mabry Hwy
Suite 118
Tampa, FL 33618-2424
Phone (813) 892-1252

8002 King Helie Blvd
New Port Richey, FL 34653-1435
Phone (727) 943-5566

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Baycare Behavioral Health Inc. Current Accepting new patients
Central West Behavioral Health LLC Clinical CurrentSince Feb 16, 2022 Accepting new patients
Baycare Behavioral Health Associates LLC CurrentSince Mar 9, 2022 Accepting new patients
Winter Haven Hospital Inc CurrentSince Mar 9, 2022 Accepting new patients
Behavioral Health Management Services, Inc. CurrentSince Mar 9, 2022 Accepting new patients
Baycare Behavioral Health Associates LLC CurrentSince Mar 9, 2022 Accepting new patients
Behavioral Health Management Services, Inc. CurrentSince Mar 9, 2022 Accepting new patients
Baycare Behavioral Health Inc. CurrentSince Mar 9, 2022 Accepting new patients
Baycare Behavioral Health, Inc CurrentSince Mar 9, 2022 Accepting new patients
Mental Health Specialty Group PA CurrentSince May 1, 2025 Accepting new patients
Behavioral Health Management Services, Inc. Past Accepting new patients
Claire C Oglander LCSW LLC PastSince Feb 25, 2022 Accepting new patients

Locations

2995 Drew St
Fl 2
Clearwater, FL 33759
Phone (727) 315-7234

1106 Druid Rd S
Clearwater, FL 33756
Phone (727) 584-6266

2328 10th Ave N
Ste 201
Lake Worth, FL 33461
Phone (561) 236-7622

4211 Van Dyke Rd
Lutz, FL 33558
Phone (813) 265-6300

8002 King Helie Blvd
Fl 3
New Port Richey, FL 34653
Phone (813) 281-9390

8002 King Helie Blvd
New Port Richey, FL 34653
Phone (727) 841-4200

7809 Massachusetts Ave
Ste 100
New Prt Rchy, FL 34653
Phone (727) 841-4200

6600 Madison St
New Pt Richey, FL 34652
Phone (727) 841-4611

4138 Lamson Ave
Spring Hill, FL 34608

322 W Bearss Ave
Tampa, FL 33613
Phone (813) 505-1949

2727 W Mlk Blvd
Ste 640
Tampa, FL 33607
Phone (813) 842-7582

13902 N Dale Mabry Hwy
Ste 118
Tampa, FL 33618
Phone (239) 595-4594

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: shabu.vargheselcsw@direct.mybaycare.org

Organizations & group practices 12

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": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1649499641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13902 N DALE MABRY HWY STE 118",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182424",
            "telephone_number": "813-892-1252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13902 N DALE MABRY HWY STE 118",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182424",
            "telephone_number": "813-892-1252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8002 King Helie Blvd Fl 3",
            "address_purpose": "LOCATION",
            "city": "New Port Richey",
            "state": "FL",
            "postal_code": "346531435",
            "country_code": "US",
            "telephone_number": "813-281-9390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VARGHESE",
        "first_name": "SHABU",
        "middle_name": "ABRAHAM",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-25",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW8095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Shabu.Vargheselcsw@direct.mybaycare.org",
            "affiliation": "Y",
            "affiliationName": "BayCare Medical Group, Inc.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2995 Drew St Fl 2",
            "city": "Clearwater",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337593012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.