Jeffrey Shearer PA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

JEFFREY SHEARER PA

Practice address

1881 NE 26TH St Ste 239
Wilton Manors, FL 33305-1426

Phone

(954) 999-5740

NPI assigned

Feb 4, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Jeffrey Scott Shearer, LCSW

Title

President

Phone

(954) 999-5740

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Andrew Farris, PSY.D.

  • Clinical Psychologist
  • Wilton Manors, FL
  • NPI 1215262092
  NPD

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

{
    "created_epoch": "1580774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620172800000",
    "number": "1982235362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1881 NE 26TH ST STE 239",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333051426",
            "telephone_number": "954-999-5740",
            "fax_number": "954-302-4961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1881 NE 26TH ST STE 239",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333051426",
            "telephone_number": "954-999-5740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY SHEARER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-04",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A",
        "authorized_official_last_name": "SHEARER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-999-5740",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Island City Urgent Care PA
• Matthew Gregory Ives, PMHNP-BC
• Lesley Jackson
• James Club Mental Health & Addiction Counseling Center, Inc
• Chad Jeffers
• Katherine Brauss Jensen, OD
• Aretha Jester, OTR/L
• Joel Montgomery Therapist PA
• John Chaffin, Ed.D., P.a.
• John Moushati, PA

• Clinical Social Worker in Wilton Manors, FL
• Providers in Wilton Manors, 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 May 5, 2021; 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.