What is Douglas Shine's NPI number?

Douglas Shine's National Provider Identifier (NPI) is 1992821201, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Douglas Shine's specialty?

Douglas Shine is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).

Where is Douglas Shine located?

Douglas Shine's practice location on file with NPPES is 1705 Duck Water Ct, Saint Johns, FL 32259-5247.

What is Douglas Shine's phone number?

The practice phone number listed in the NPPES registry for Douglas Shine is (904) 287-3122.

Does Douglas Shine accept Medicare?

Douglas Shine is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.

Is Douglas Shine's NPI active?

Yes — Douglas Shine's NPI (1992821201) is active in the NPPES registry as of the last update on 2012-09-10.

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Douglas Shine, L.C.S.W.

NPI 1992821201 · Clinical Social Worker · Saint Johns, FL

Douglas Shine, L.C.S.W. is a Clinical Social Worker provider in Saint Johns, FL (NPI 1992821201).

Provider details

NPI number: 1992821201
Entity type: Individual
Primary specialty: Clinical Social WorkerBehavioral Health & Social Service Providers
Credential: L.C.S.W.
Sex: Male
Sole proprietor: Yes
License: SW0001447 (FL)

Practice location

1705 Duck Water Ct

Saint Johns, FL 32259-5247

Phone: (904) 287-3122

Fax: (904) 287-3122

Street-level locationGet directions

More FL providers

Mailing address

1705 Duck Water Ct

Jacksonville, FL 32259-5247

Specialties & taxonomies

Clinical Social WorkerPrimary1041C0700XLicense SW0001447 (FL)
Behavioral Health & Social Service Providers

Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Profile Score

Detailed profile(90/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
19 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Enumerated: 2007-03-21
Last updated: 2012-09-10

Frequently asked questions

What is Douglas Shine's NPI number?: Douglas Shine's National Provider Identifier (NPI) is 1992821201, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What is Douglas Shine's specialty?: Douglas Shine is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
Where is Douglas Shine located?: Douglas Shine's practice location on file with NPPES is 1705 Duck Water Ct, Saint Johns, FL 32259-5247.
What is Douglas Shine's phone number?: The practice phone number listed in the NPPES registry for Douglas Shine is (904) 287-3122.
Does Douglas Shine accept Medicare?: Douglas Shine is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
Is Douglas Shine's NPI active?: Yes — Douglas Shine's NPI (1992821201) is active in the NPPES registry as of the last update on 2012-09-10.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Profile Score

Frequently asked questions