Individual provider Active NPI

Sheppard M Goldstein, LCSW

  • Clinical Social Worker
  • Coral Springs, FL
National Provider Identifier
1760699383
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW5849 Issued in FL
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040629000399 FL Practitioner - Clinical Social Worker 4880670918 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
SW5849FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Psychotherapeutic Services Inc Clinical CurrentSince Oct 26, 2003 Accepting new patients
Alan a Jaffe PHD & Associates PA PastSince May 1, 2001 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.

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

Verify at the official NPI Registry.