Organization Active NPI

Ilene a Scharf, MSW, LCSW, Inc

  • Clinical Social Worker
  • Melbourne, FL
National Provider Identifier
1992184428
Registry record updated May 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ILENE A SCHARF, MSW, LCSW, INC
Practice address
6767 N Wickham Rd
Melbourne, FL 32940-2031
Phone
(321) 421-6982
NPI assigned
May 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2015

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

Authorized official

Name
Mrs. Ilene A Scharf, LCSW
Title
President and Owner
Phone
(321) 421-6982

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

6767 N Wickham Rd
Melbourne, FL 32940-2031

Mailing address

3425 Shady Run Rd
Melbourne, FL 32934-8569
Phone (321) 446-3603

Other identifiers 1

IdentifierTypeStateIssuer
767381700MedicaidFL

National Provider Directory

National Provider Directory

Locations

6767 N Wickham Rd
Melbourne, FL 32940
Phone (321) 421-6982

NPI Registry JSON

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

{
    "created_epoch": "1432857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432857600000",
    "number": "1992184428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3425 SHADY RUN RD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329348569",
            "telephone_number": "321-446-3603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6767 N WICKHAM RD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329402031",
            "telephone_number": "321-421-6982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILENE A SCHARF, MSW, LCSW, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-29",
        "last_updated": "2015-05-29",
        "status": "A",
        "authorized_official_last_name": "SCHARF",
        "authorized_official_first_name": "ILENE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT AND OWNER",
        "authorized_official_telephone_number": "321-421-6982",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "767381700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2015; 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.