Individual provider Active NPI

Julie Ann Shaikh, PHD, LCSW

  • Clinical Social Worker
  • Boca Raton, FL
National Provider Identifier
1891056735
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW11814 Issued in FL
Practice address
399 NW 2ND Ave Ste 202
Boca Raton, FL 33432-3848
Phone
(412) 930-5157
NPI assigned
Jun 7, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW018939 PA
Clinical Social Worker 1041C0700X SW11814 FL Primary

Addresses

Primary practice location

399 NW 2ND Ave Ste 202
Boca Raton, FL 33432-3848

Mailing address

PO Box 272716
Boca Raton, FL 33427-2716
Phone (412) 930-5157

Other practice location 1

450 E Atlantic Blvd
Pompano Beach, FL 33060-6256
Phone (954) 781-4405

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
SW11814FLMDClinical Social Worker
CW018939PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Programs Inc Mental Health Past Accepting new patients

Organizations & group practices 1

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": "1339027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1891056735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 272716",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334272716",
            "telephone_number": "412-930-5157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 NW 2ND AVE STE 202",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334323848",
            "telephone_number": "412-930-5157"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 E Atlantic Blvd",
            "address_purpose": "LOCATION",
            "city": "Pompano Beach",
            "state": "FL",
            "postal_code": "330606256",
            "country_code": "US",
            "telephone_number": "954-781-4405",
            "fax_number": "954-785-6120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAIKH",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "credential": "PHD, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-07",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW018939",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW11814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; 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.