DR. KATHRYN C. SHAFER (PH.D.) – Clinical Social Worker, NPI 1225078975

DR. KATHRYN C. SHAFER (PH.D.) is a healthcare provider. based in Jupiter, Florida. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials PH.D.. They hold a License No. SW2276 (FL). The NPI Number for DR. KATHRYN C. SHAFER (PH.D.) is 1225078975

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. KATHRYN C. SHAFER (PH.D.)
NPI
1225078975
Phone
(561) 799-6789
Address
675 W INDIANTOWN RD
Enumeration Date
8 June 2006
Last Update Date
9 July 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5617996789
Graduation Year
1994 (32 years ago)
PAC ID
7214942887
Professional Enrollment ID
I20060220000057
Address ID
FL334775993JU351XX1XXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,374 CLINICAL SOCIAL WORKER in FL

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Provider Addresses for DR. KATHRYN C. SHAFER (PH.D.)

  • 675, West Indiantown Road, Jupiter, Palm Beach County, Florida, 33458, United States

    SUITE 100

    JUPITER, FL 334587548

    Phone: (561) 799-6789

    Fax: (561) 799-6792

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-02-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060220000057IClinical Social WorkerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour14019$0
90791Psychiatric diagnostic evaluation1414$0
View full utilization report →

Insurance plans in this area (ZIP 33458)

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Reviews

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Frequently asked questions

How do I look up DR. KATHRYN C. SHAFER (PH.D.) by NPI?
Use NPI 1225078975 when you need to reference DR. KATHRYN C. SHAFER (PH.D.) in forms, claims, or directories.
Is DR. KATHRYN C. SHAFER (PH.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does DR. KATHRYN C. SHAFER (PH.D.) list a primary specialty?
If you are matching referrals, note Clinical Social Worker for DR. KATHRYN C. SHAFER (PH.D.). Clinical services aligned with this taxonomy classification.
Does DR. KATHRYN C. SHAFER (PH.D.) practice in Florida?
You will see Jupiter, Florida on file for DR. KATHRYN C. SHAFER (PH.D.) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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