Sherri Issa, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW6069 Issued in FL

Practice address

2808 NE 22ND St
Fort Lauderdale, FL 33305-2804

Phone

(954) 564-9460

Fax

(954) 564-1371

NPI assigned

Dec 11, 2005

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

Other identifiers 1

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

Specialty

Clinical Social Worker

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Theracounsel, Inc.Group PAC ID 0143206466, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Theracounsel, Inc.

  • Clinical Social Worker
  • Ft Lauderdale, FL
  • NPI 1457460339
  Medicare reassignment Care Compare group NPD Authorized official
• Inner Light Psychotherapy Inc

  • Clinical Social Worker
  • Fort Lauderdale, FL
  • NPI 1144195108
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1134259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316649600000",
    "number": "1730164914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2808 NE 22ND ST",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333052804",
            "telephone_number": "954-564-9460",
            "fax_number": "954-564-1371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2808 NE 22ND ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333052804",
            "telephone_number": "954-564-9460",
            "fax_number": "954-564-1371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISSA",
        "first_name": "SHERRI",
        "name_prefix": "Prof.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-11",
        "last_updated": "2011-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW6069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B",
            "identifier": "Z0803A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shmaila Ishaq, MD
• Ismart Home Care
• Ismarthomecare
• Marie Isme
• Allen H Israel, M.S.
• Itdv Non Emergency Transportation Inc
• Its All Grief, LLC
• Charlotte D Ivey, LISW-S, PH.D.
• Ivibes Lounge LLC
• Ivision International Network Services LLC

• Clinical Social Worker in Fort Lauderdale, FL
• Providers in Fort Lauderdale, 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 Sep 22, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.