Individual provider Active NPI

Shirley Barclay, LCSW

  • Mental Health Counselor
  • Fort Pierce, FL
National Provider Identifier
1740606037
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
SW5124 Issued in FL
Practice address
130 S Indian River Dr Ste 202
Fort Pierce, FL 34950-4353
Phone
(772) 773-0229
Fax
(772) 272-8600
NPI assigned
Mar 11, 2014
Last updated
Dec 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X SW5124 FL Primary
Clinical Social Worker 1041C0700X 5124 FL

Addresses

Primary practice location

130 S Indian River Dr Ste 202
Fort Pierce, FL 34950-4353

Mailing address

130 S Indian River Dr Ste 202
Fort Pierce, FL 34950-4353
Phone (772) 773-0229

Other names 1

  • Ms. Shirley Fleming Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190130000230 FL Practitioner - Clinical Social Worker 0749527760 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advent Prestige Care LLCGroup PAC ID 2466837976, 2 clinicians

Practice addresses (Care Compare)

130 S Indian River Dr
Suite 202
Fort Pierce, FL 34950-4353
Phone (772) 773-0229

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW5124FLMDMental Health Counselor
5124FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Advent Prestige Care LLC Mental Health CurrentSince Mar 30, 2022 Accepting new patients
Teladoc Health Medical Group, P.a. Mental Health Current Accepting new patients
Head to Heart, Inc Clinical CurrentSince Dec 17, 2023 Accepting new patients

Locations

130 S Indian River Dr
Ste 202
Fort Pierce, FL 34950
Phone (310) 515-8113

Interoperability endpoints

  • Direct secure messaging: shirleybarclay@tdh.allscriptsdirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1394496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1740606037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 S INDIAN RIVER DR STE 202",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504353",
            "telephone_number": "772-773-0229",
            "fax_number": "772-772-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S INDIAN RIVER DR STE 202",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504353",
            "telephone_number": "772-773-0229",
            "fax_number": "772-272-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARCLAY",
        "first_name": "SHIRLEY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-11",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "SW5124",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "5124",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHIRLEY",
            "last_name": "FLEMING",
            "prefix": "MS.",
            "credential": "SW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Pierce, FL

Sources for this page

Verify at the official NPI Registry.