Active NPI
Susan Evelyn Shafran, LCSW
- Clinical Social Worker
- Pompano Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW10445
- Practice address
- 1371 S Ocean Blvd
Pompano Beach, FL 33062-7130 - Phone
- (954) 943-1155
- NPI assigned
- Aug 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 073494 | NY | |
| Clinical Social Worker | 1041C0700X | 078572 | NY | |
| Clinical Social Worker | 1041C0700X | SW10445 | FL | Primary |
Addresses
Primary practice location
1371 S Ocean Blvd
Pompano Beach, FL 33062-7130
Mailing address
5851 Holmberg Rd
Apt 2013
Parkland, FL 33067-4536
Phone (718) 314-5450
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW10445 | FL | MD | Clinical Social Worker |
| 078572 | NY | MD | Clinical Social Worker |
| 073494 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lisa Friedman L C S W Inc | Clinical | Current | Accepting new patients |
| Medication Assisted Recovery Institute, LLC | Clinical | Current | Accepting new patients |
| Mindpath Health Florida, PLLC | Clinical | Current | Accepting new patients |
| Irecovery, LLC | Clinical | Current | Accepting new patients |
| Irecovery, LLC | Clinical | Current | Accepting new patients |
| Family and Children'S Association - Linkage | Past | Accepting new patients |
Locations
5030 Champion Blvd
Ste G11535
Boca Raton, FL 33496
5030 Champion Blvd
Ste G11
Boca Raton, FL 33496
2900 N Military Trl
Ste 241
Boca Raton, FL 33431
Phone (561) 464-4949
1725 N University Dr
Ste 350
Coral Springs, FL 33071
Phone (954) 227-2700
130 S Indian River Dr
Ste 2026405
Fort Pierce, FL 34950
Phone (772) 773-6989
9715 W Broward Blvd
Plantation, FL 33324
Phone (954) 741-1099
7376 NW 5th St
Plantation, FL 33317
Phone (954) 461-5690
Organizations & group practices 6
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.
-
- Clinical Social Worker
- Plantation, FL
- NPI 1124379821
-
- Addiction Medicine (Preventive Medicine) Physician
- Boca Raton, FL
- NPI 1154967891
Clinical
-
- Addiction Medicine (Preventive Medicine) Physician
- Coral Springs, FL
- NPI 1972221836
Clinical
-
- Mental Health Counselor
- Garden City, NY
- NPI 1164187449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346803200000",
"number": "1699788596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5851 HOLMBERG RD",
"address_2": "APT 2013",
"city": "PARKLAND",
"state": "FL",
"postal_code": "330674536",
"telephone_number": "718-314-5450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1371 S OCEAN BLVD",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330627130",
"telephone_number": "954-943-1155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAFRAN",
"first_name": "SUSAN",
"middle_name": "EVELYN",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-14",
"last_updated": "2012-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "073494",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "078572",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW10445",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pompano Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.