Active NPI
Sheila Frederick
- Clinical Social Worker
- Kissimmee, FL
National Provider Identifier
1811498603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW14059
- Practice address
- 110 W Neptune Rd
Kissimmee, FL 34741-5003 - Phone
- (407) 742-1545
- NPI assigned
- Feb 27, 2018
- Last updated
- Feb 27, 2018
- Sex
- Female
- 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 | SW14059 | FL | Primary |
Addresses
Primary practice location
110 W Neptune Rd
Kissimmee, FL 34741-5003
Mailing address
13101 Heather Moss Dr Apt 910
Orlando, FL 32837-5539
Phone (561) 302-7410
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 |
|---|---|---|---|
| SW14059 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519689600000",
"number": "1811498603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13101 HEATHER MOSS DR APT 910",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328375539",
"telephone_number": "561-302-7410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 W NEPTUNE RD",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347415003",
"telephone_number": "407-742-1545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREDERICK",
"first_name": "SHEILA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-27",
"last_updated": "2018-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW14059",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.