Active NPI
Ian Shelly Silbert, PH.D., LCSW
- Clinical Social Worker
- Wellington, FL
National Provider Identifier
1992747398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW3115
- Practice address
- 11120 S Crown Way Ste 1
Wellington, FL 33414-8718 - Phone
- (305) 725-3125
- Fax
- (561) 793-0669
- NPI assigned
- Jun 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | SW3115 | FL | Primary |
Addresses
Primary practice location
11120 S Crown Way Ste 1
Wellington, FL 33414-8718
Mailing address
9119 Boca Gardens Cir S
Suite B
Boca Raton, FL 33496-3709
Phone (305) 725-3125
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cotler Healthcare & Development Inc. | Current | Accepting new patients | |
| Different Like Me Inc | Clinical | Past | Accepting new patients |
| Total Family Health Care Center Inc | Past | Accepting new patients | |
| Breakwater Psychotherapy, LLC | Past | Accepting new patients |
Locations
901 S 62nd Ave
Hollywood, FL 33023
Phone (954) 893-0109
9835 Lake Worth Rd
Ste 16179
Lake Worth, FL 33467
11120 S Crown Way
Ste 1
Wellington, FL 33414
Phone (561) 419-6779
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Wellington, FL
- NPI 1225075047
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Delray Beach, FL
- NPI 1811640592
-
- Clinical Social Worker
- Boca Raton, FL
- NPI 1093915043
-
- Community/Behavioral Health Agency
- Sunrise, FL
- NPI 1174775662
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589500800000",
"number": "1992747398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9119 BOCA GARDENS CIR S",
"address_2": "SUITE B",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334963709",
"telephone_number": "305-725-3125",
"fax_number": "561-296-5287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11120 S CROWN WAY STE 1",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334148718",
"telephone_number": "305-725-3125",
"fax_number": "561-793-0669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SILBERT",
"first_name": "IAN",
"middle_name": "SHELLY",
"name_prefix": "Dr.",
"credential": "PH.D., LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-11",
"last_updated": "2020-05-15",
"certification_date": "2020-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW3115",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wellington, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.