Active NPI
Sheppard M Goldstein, LCSW
- Clinical Social Worker
- Coral Springs, FL
National Provider Identifier
1760699383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW5849
- Practice address
- 1440 Coral Ridge Dr
Suite 288
Coral Springs, FL 33071-5433 - Phone
- (954) 345-3898
- Fax
- (954) 281-8827
- NPI assigned
- May 16, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW5849 | FL | Primary |
Addresses
Primary practice location
1440 Coral Ridge Dr
Suite 288
Coral Springs, FL 33071-5433
Mailing address
1440 Coral Ridge Dr
Suite 288
Coral Springs, FL 33071-5433
Phone (954) 345-3898
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
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
7022 Caviro LN
Boynton Beach, FL 33437-3729
Phone (954) 345-3898
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW5849 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Psychotherapeutic Services Inc | Clinical | Current | Accepting new patients |
| Alan a Jaffe PHD & Associates PA | Past | Accepting new patients |
Locations
1440 Coral Ridge Dr
Coral Springs, FL 33071
Phone (954) 247-1320
Organizations & group practices 2
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
- Coral Springs, FL
- NPI 1326057704
-
- Clinical Neuropsychologist
- Coral Springs, FL
- NPI 1326165655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1760699383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1440 CORAL RIDGE DR",
"address_2": "SUITE 288",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330715433",
"telephone_number": "954-345-3898",
"fax_number": "954-281-8827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1440 CORAL RIDGE DR",
"address_2": "SUITE 288",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330715433",
"telephone_number": "954-345-3898",
"fax_number": "954-281-8827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDSTEIN",
"first_name": "SHEPPARD",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW5849",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coral Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.