Individual provider Active NPI

Paul Schauber, LCSW

  • Clinical Social Worker
  • Fort Lauderdale, FL
National Provider Identifier
1689844466
Registry record updated Oct 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW5081 Issued in FL
Practice address
420 NE 3Rd St
Fort Lauderdale, FL 33301-1140
Phone
(954) 868-8009
Fax
(954) 530-6419
NPI assigned
Mar 7, 2008
Last updated
Oct 15, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2009

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 SW5081 FL Primary

Addresses

Primary practice location

420 NE 3Rd St
Fort Lauderdale, FL 33301-1140

Mailing address

420 NE 3Rd St
Fort Lauderdale, FL 33301-1140
Phone (954) 868-8009

Other identifiers 1

IdentifierTypeStateIssuer
768912800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

NPI Registry JSON

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255564800000",
    "number": "1689844466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 NE 3RD ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333011140",
            "telephone_number": "954-868-8009",
            "fax_number": "954-530-6419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 NE 3RD ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333011140",
            "telephone_number": "954-868-8009",
            "fax_number": "954-530-6419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAUBER",
        "first_name": "PAUL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-07",
        "last_updated": "2009-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW5081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "768912800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2009; 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.