Active NPI
Sherry Villadiego, MSW
- Social Worker
- Brandon, FL
National Provider Identifier
1730633918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- ISW 10654
- Practice address
- 126 Lithia Pinecrest Rd
Brandon, FL 33511-5347 - Phone
- (813) 689-8828
- NPI assigned
- Aug 5, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | ISW 10654 | FL | Primary |
Addresses
Primary practice location
126 Lithia Pinecrest Rd
Brandon, FL 33511-5347
Mailing address
10231 Timberland Point Dr
Tampa, FL 33647-2836
Phone (973) 626-3699
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ISW 10654 | FL | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470355200000",
"number": "1730633918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10231 TIMBERLAND POINT DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336472836",
"telephone_number": "973-626-3699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "126 LITHIA PINECREST RD",
"city": "BRANDON",
"state": "FL",
"postal_code": "335115347",
"telephone_number": "813-689-8828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLADIEGO",
"first_name": "SHERRY",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-05",
"last_updated": "2016-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "FL",
"license": "ISW 10654",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.