Individual provider Active NPI

Shidelande D Alexis, LCSW

  • Clinical Social Worker
  • Bradenton, FL
National Provider Identifier
1780589754
Registry record updated Oct 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW27455 Issued in FL
Practice address
5325 E State Road 64 Ste B
Bradenton, FL 34208-5534
Phone
(941) 277-9922
NPI assigned
Oct 10, 2026
Last updated
Oct 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2026

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 SW27455 FL Primary

Addresses

Primary practice location

5325 E State Road 64 Ste B
Bradenton, FL 34208-5534

Mailing address

5325 E State Road 64 Ste B
Bradenton, FL 34208-5534
Phone (941) 277-9922

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1791590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791936000000",
    "number": "1780589754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5325 E STATE ROAD 64 STE B",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342085534",
            "telephone_number": "941-277-9922",
            "fax_number": "941-277-9933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5325 E STATE ROAD 64 STE B",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342085534",
            "telephone_number": "941-277-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXIS",
        "first_name": "SHIDELANDE",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-10-10",
        "last_updated": "2026-10-14",
        "certification_date": "2026-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW27455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.