Shawn Marie North, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW14061 Issued in FL

Practice address

1219 Millennium Pkwy
Ste 116
Brandon, FL 33511-3891

Phone

(630) 391-2035

NPI assigned

Nov 10, 2017

Last updated

Jul 13, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Shawn Marie Penton Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Mindful and Present Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brandon, FL
  • NPI 1013577956
  NPD (past) Authorized official
• Auto Injury EMS's of Florida

  • Family Nurse Practitioner
  • Brandon, FL
  • NPI 1184209694
  NPD (past)

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

{
    "created_epoch": "1510272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562976000000",
    "number": "1861905986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 MILLENNIUM PKWY STE 116",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335113891",
            "telephone_number": "630-391-2035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 MILLENNIUM PKWY",
            "address_2": "STE 116",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335113891",
            "telephone_number": "630-391-2035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORTH",
        "first_name": "SHAWN",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-10",
        "last_updated": "2019-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW14061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020425900",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https;//mindfulandpresentcounseling.clientsecure",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1219 MILLENNIUM PKWY",
            "address_2": "STE 116",
            "city": "BRANDON",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335113891",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SHAWN",
            "last_name": "PENTON",
            "middle_name": "MARIE",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John Basil Noriega, RPH
• Eileen Norris
• North Brandon Imaging LLC (Tower Diagnostic Center of Brandon)
• North Brandon Imaging, LLC (dba Tower Diagnostic Center of Brandon, Inc)
• Courtney Ann North, AU.D. MBA
• Jasmine Northington
• Northland Hearing Center, Inc. (Audibel Hearing Aid Center)
• Northland Hearing Centers (Hearing Centers of Southwest FL)
• Lindsey Norton, PHARMD
• Gleydy Josfina Nova, BA

• Clinical Social Worker in Brandon, FL
• Providers in Brandon, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.