Individual provider Active NPI

Shannon Saluk

  • Clinical Social Worker
  • Ft Lauderdale, FL
National Provider Identifier
1912309014
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW19724 Issued in FL
Practice address
3101 N Federal Hwy Ste 606a
Ft Lauderdale, FL 33306-1018
Phone
(954) 873-4565
NPI assigned
Sep 19, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Clinical Social Worker 1041C0700X SW19724 FL Primary

Addresses

Primary practice location

3101 N Federal Hwy Ste 606a
Ft Lauderdale, FL 33306-1018

Mailing address

819 NE 26TH St
Wilton Manors, FL 33305-1239

Other practice location 1

819 NE 26th St
Wilton Manors, FL 33305-1239
Phone (954) 390-7654 ext. 1078

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
I20220415000637 FL Practitioner - Clinical Social Worker 3870989023 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boca Raton Psychiatry, LLCGroup PAC ID 0749547750, 27 clinicians

Practice addresses (Care Compare)

9980 Central Park Blvd N
Suite 210
Boca Raton, FL 33428-1703

9980 N Central Park Blvd
Suite 210
Boca Raton, FL 33428-1703
Phone (561) 342-8822

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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": "1411084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1912309014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 NE 26TH ST",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333051239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 N FEDERAL HWY STE 606A",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061018",
            "telephone_number": "954-873-4565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "819 NE 26th St",
            "address_purpose": "LOCATION",
            "city": "Wilton Manors",
            "state": "FL",
            "postal_code": "333051239",
            "country_code": "US",
            "telephone_number": "954-390-7654 x1078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALUK",
        "first_name": "SHANNON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-19",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW19724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.