Active NPI
Shani Ashkenazy Grundt, LCSW
- Clinical Social Worker
- Tampa, FL
National Provider Identifier
1982354965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW16700
- Practice address
- 4100 W Kennedy Blvd Ste 326
Tampa, FL 33609-2257 - Phone
- (850) 510-4513
- NPI assigned
- Mar 24, 2022
- 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 | SW16700 | FL | Primary |
Addresses
Primary practice location
4100 W Kennedy Blvd Ste 326
Tampa, FL 33609-2257
Mailing address
PO Box 746878
Atlanta, GA 30374-6878
Phone (833) 613-2443
Other practice location 1
78 SW 7th St
Miami, FL 33130-3402
Phone (323) 676-7425
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 80 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Doxy.Me | Direct | Enlightened Choices, LLC |
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 |
|---|---|---|---|
| SW16700 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788393600000",
"number": "1982354965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 746878",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303746878",
"telephone_number": "833-613-2443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 W KENNEDY BLVD STE 326",
"city": "TAMPA",
"state": "FL",
"postal_code": "336092257",
"telephone_number": "850-510-4513"
}
],
"practiceLocations": [
{
"address_1": "78 SW 7th St",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331303402",
"country_code": "US",
"telephone_number": "323-676-7425",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRUNDT",
"first_name": "SHANI",
"middle_name": "ASHKENAZY",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-24",
"last_updated": "2026-09-03",
"certification_date": "2026-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW16700",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "80",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Doxy.Me",
"affiliation": "Y",
"endpointDescription": "Telehealth Platform",
"affiliationName": "Enlightened Choices, LLC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4100 W Kennedy Blvd Ste 326",
"city": "Tampa",
"state": "FL",
"country_code": "US",
"postal_code": "336092257",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.