Active NPI
Shelby Decker
- Clinical Social Worker
- St Petersburg, FL
National Provider Identifier
1952770315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 25954
- Practice address
- 7901 4TH St N Ste 300
St Petersburg, FL 33702-4399 - Phone
- (850) 716-8896
- NPI assigned
- Sep 16, 2015
- Reactivated
- Mar 25, 2019
- 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 | 25954 | FL | Primary |
Addresses
Primary practice location
7901 4TH St N Ste 300
St Petersburg, FL 33702-4399
Mailing address
7901 4TH St N Ste 300
St Petersburg, FL 33702-4399
Phone (850) 716-8896
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 |
|---|---|---|---|
| 25954 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782777600000",
"number": "1952770315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7901 4TH ST N STE 300",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337024399",
"telephone_number": "850-716-8896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7901 4TH ST N STE 300",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337024399",
"telephone_number": "850-716-8896"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DECKER",
"first_name": "SHELBY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-16",
"last_updated": "2026-06-30",
"certification_date": "2026-06-30",
"deactivation_date": "2019-03-14",
"reactivation_date": "2019-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "25954",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Petersburg, FL
- Deborah S Bart M.D.&Assoc
- Deborah S. Bart, M.D.'S & Assoc.
- Philippe Robert Debroux, OTRL
- Catherine Marie Decker
- Jamie Andrew Decker, MD
- John B Decosmo, DO
- Dedicated Senior Medical Center St. Petersburg, LLC.
- Dedicated Senior Medical Centers of Florida, LLC
- Dedicated Senior Medical Centers of Florida, LLC
- Dedra Hern Crna LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.