Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DOUGLAS MARK SHINE, L.C.S.W.
Active Sole ProprietorMR. DOUGLAS MARK SHINE, L.C.S.W. is a Clinical Social Worker healthcare provider located in SAINT JOHNS, Florida. NPI 1992821201 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · SAINT JOHNS, FL
Registration Details
- NPI Number
- 1992821201
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 21, 2007 (19.374153964721 yrs)
- Last Updated
- Sep 10, 2012
- License
-
SW0001447 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1705 DUCK WATER CTSAINT JOHNS, FL, 322595247Browse FL providers · Browse ZIP 32259
- Phone
- 9042873122
- Fax
- 9042873122
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in SAINT JOHNS, FL
| Name | Credential | NPI |
|---|---|---|
| DEBBIE CARROLL-REBHAN | — | 1114384443 |
| KRISTIN MOORE | — | 1871956169 |
| MRS. KELLY CONNOLLY WAYLAND | LCSW | 1316546518 |
| ALICIA KIERNAN | LCSW | 1811561848 |
| KELSEY L. BLOOM | LCSW | 1730892365 |
| ANNA TONSING | LCSW | 1487350146 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.