Life Matters, Incorporated

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW7273 Issued in FL

Legal business name

LIFE MATTERS, INCORPORATED

Practice address

3307 Northlake Blvd
Suite 104
Palm Beach Gardens, FL 33403-1703

Phone

(561) 881-4581

NPI assigned

Jun 20, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Sharon Blackshire, L.C.S.W., C.A.P.

Title

Chief Executive Officer

Phone

(561) 881-4581

Specialties & licenses 1

Addresses

Other names 1

• Sharon Blackshire DBA Life Matters Former legal business name

Locations

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679778450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 BONISLE CIRCLE",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334186503",
            "telephone_number": "561-881-4581",
            "fax_number": "561-881-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3307 NORTHLAKE BLVD",
            "address_2": "SUITE 104",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334031703",
            "telephone_number": "561-881-4581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE MATTERS, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLACKSHIRE",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "561-881-4581",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "L.C.S.W., C.A.P."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW7273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sharon Blackshire DBA Life Matters",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Clinical Social Worker in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, 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 Aug 22, 2020; 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.