Individual provider Active NPI

Ian Shelly Silbert, PH.D., LCSW

  • Clinical Social Worker
  • Wellington, FL
National Provider Identifier
1992747398
Registry record updated May 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW3115 Issued in FL
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

Updated by the provider on May 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050217000535 FL Practitioner - Clinical Social Worker 3476505413 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Cotler Healthcare & Development Inc. CurrentSince May 19, 2020 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.

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

Verify at the official NPI Registry.