Sheriffa Gallwey, LCSW, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SHERIFFA GALLWEY, LCSW, PLLC

Practice address

88 Roxboro Drive, Palm Coast, FL, USA
Palm Coast, FL 32164

Phone

(164) 671-3415

NPI assigned

Dec 26, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Sheriffa Gallwey, LCSW, PH.DNPI 1114065190

Title

Mental Health Clinician

Phone

(646) 713-4158

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Sheriffa Gallwey, LCSW

  • Clinical Social Worker
  • Palm Coast, FL
  • NPI 1114065190
  NPD Authorized official

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

{
    "created_epoch": "1514246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723766400000",
    "number": "1992211122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 ROXBORO DR",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321646920",
            "telephone_number": "646-713-4158",
            "fax_number": "845-623-0149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 ROXBORO DRIVE, PALM COAST, FL, USA",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "32164",
            "telephone_number": "164-671-3415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERIFFA GALLWEY, LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-26",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A",
        "authorized_official_last_name": "GALLWEY",
        "authorized_official_first_name": "SHERIFFA",
        "authorized_official_title_or_position": "MENTAL HEALTH CLINICIAN",
        "authorized_official_telephone_number": "646-713-4158",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCSW, PH.D"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1114065190",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Sandra Flanagan Shugart, RPH
• Gabriel Shuler Sr.

• Clinical Social Worker in Palm Coast, FL
• Providers in Palm Coast, 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 Aug 16, 2024; 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.