Stephanie Albertha McShan, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW12807 Issued in FL

Practice address

2110 N Donnelly St Ste 500
Mount Dora, FL 32757-6968

Phone

(321) 362-4176

Fax

(321) 256-5176

NPI assigned

Sep 15, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Stephanie Hamilton Former name

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

Specialty

Clinical Social Worker

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Breakthrough Transitions LLC

  • Clinical Social Worker
  • Mount Dora, FL
  • NPI 1902274624
  Medicare reassignment NPD Authorized official
• Community Health Centers, Inc

  • Community/Retail Pharmacy
  • Apopka, FL
  • NPI 1134258684
  Medicare reassignment NPD
• Breakthrough Med Transport LLC

  dba Breakthrough Transitions LLC

  • Non-emergency Medical Transport (VAN)
  • Mount Dora, FL
  • NPI 1003407628
  NPD Authorized official
• Breakthrough Transitions LLC

  • Medical Specialty Clinic/Center
  • Mount Dora, FL
  • NPI 1104594415
  NPD Authorized official
• Community Health Centers, Inc

  • Primary Care Clinic/Center
  • Groveland, FL
  • NPI 1255415535
  NPD
• Community Health Centers, Inc

  • Primary Care Clinic/Center
  • Orlando, FL
  • NPI 1396829677
  NPD
• Community Health Centers, Inc

  • Federally Qualified Health Center (FQHC)
  • Orlando, FL
  • NPI 1710259965
  NPD

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

{
    "created_epoch": "1347667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1942550033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 639",
            "city": "PLYMOUTH",
            "state": "FL",
            "postal_code": "327680639",
            "telephone_number": "321-362-4176",
            "fax_number": "352-360-0762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 N DONNELLY ST STE 500",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327576968",
            "telephone_number": "321-362-4176",
            "fax_number": "321-256-5176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCSHAN",
        "first_name": "STEPHANIE",
        "middle_name": "ALBERTHA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-15",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": "SW12807",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW12807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "HAMILTON",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cherryl Lyn McCullough
• Shelly Ann McKibbin
• Marigrace McNamara, RN, L.AC
• Molly McNeel, AP
• Mco Connect LLC (Medical Moves)
• Cassie Mears
• Medek Provider Network LLC
• Medical Ventures of America (Lake Regional Primary Care)
• Medical Ventures of America LLC (Lake Regional Urgent Care)
• Olivia Meeks, OD

• Clinical Social Worker in Mount Dora, FL
• Providers in Mount Dora, 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 Jan 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.