SUSANNAH SHERMAN (LICSW) – Clinical Social Worker, NPI 1366168239

SUSANNAH SHERMAN (LICSW) is a healthcare provider. based in Dover, Florida. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. SW20481 (FL). The NPI Number for SUSANNAH SHERMAN (LICSW) is 1366168239

Main info

Female
Sole Proprietor
33 Years Of Experience
Name
SUSANNAH SHERMAN (LICSW)
NPI
1366168239
Phone
(813) 653-6100
Address
14254 Dr Martin Luther King Jr Blvd
Enumeration Date
12 October 2022
Last Update Date
30 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1993 (33 years ago)
PAC ID
4082082722
Professional Enrollment ID
I20250814002799
Address ID
AZ852517630SC4800XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:3State licenses:2Digital endpointsOther names

3,376 CLINICAL SOCIAL WORKER in FL

Provider Addresses for SUSANNAH SHERMAN (LICSW)

  • 14254 Dr Martin Luther King Jr Blvd

    Dover, FL 335274414

    Phone: (813) 653-6100

    Type: Location

  • 14254 DR MARTIN LUTHER KING JR BLVD

    DOVER, FL 335274414

    Phone: (813) 653-6100

    Type: Mailing

  • 148 COOLIDGE AVE

    MANCHESTER, NH 031023493

    Phone: (603) 883-0005

    Fax: (603) 883-0007

    Type: Location

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: 2025-08-14

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
I20250814002799IClinical Social WorkerNHTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33527)

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Reviews

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Frequently asked questions

How is SUSANNAH SHERMAN (LICSW) identified in CMS data?
CMS-hosted NPPES data lists SUSANNAH SHERMAN (LICSW) with NPI 1366168239.
Does CMS list SUSANNAH SHERMAN (LICSW) as active?
Yes — SUSANNAH SHERMAN (LICSW) is active in the NPI listing used on this page.
What healthcare role does SUSANNAH SHERMAN (LICSW) hold?
Scheduling teams often label SUSANNAH SHERMAN (LICSW) under Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What address line appears for SUSANNAH SHERMAN (LICSW)?
SUSANNAH SHERMAN (LICSW)'s geographic hint is Dover, Florida in our summary view.
Why does SUSANNAH SHERMAN (LICSW) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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