Douglas Mark Shine, L.C.S.W.
Clinical Social Worker · Saint Johns, FL
Douglas Mark Shine, L.C.S.W. is a clinical social worker with a practice address in Saint Johns, Florida, and NPI 1992821201, issued on Mar 21, 2007. Check the license (Florida SW0001447, as entered in NPPES) on the Florida health license search; the Medicare figures below come from public CMS files.
- Name
- Douglas Mark Shine
- Credential
- L.C.S.W.
- Primary taxonomy
- Clinical Social Worker 1041C0700X
- License number
- SW0001447 FL
Self-reported in NPPES; status is on the state search - Practice location
- 1705 Duck Water CT, Saint Johns, FL 32259
- Phone
- (904) 287-3122
- Enumerated
- Mar 21, 2007
- Record last updated
- Sep 10, 2012 (not updated in 14 years: call before relying on the address or phone)
- Fax
- (904) 287-3122
- Medicaid ID
- 761636800 FL
- Medicare enrollment
- Enrolled (PECOS I20170215002743); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest clinical social worker records → All 13,458 in Florida → Look up another NPI →
Verify Douglas Mark Shine in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersFlorida health license search
Search for license SW0001447Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Optum Behavioral Care OF North Carolina PCSarasota, FL
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Douglas Mark Shine among 13,458 clinical social worker records in Florida
Douglas Mark Shine, L.C.S.W. is one of 13,458 clinical social worker records with a practice address in Florida. 12% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 10% of them.
- NPI issued2007 · 10% of these records are older, 81% newer
- In a Medicare fileYes · 12% of these records are
- In the CMS Doctors and Clinicians fileYes · 21% of these records are
- Graduated1972 · median 2010 among the 2,789 with a school on file
- Record last updated2012 · 50% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1041C0700X and a Florida practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
9 clinical social worker records list a practice address in Saint Johns
They are 9 of the 252 NPPES records with a practice address in Saint Johns, and 13,458 clinical social worker records in Florida.
All 13,458 in Florida → Every provider in Saint Johns → Clinical Social Worker nationwide →
The 8 clinical social worker records with the nearest ZIP codes
- Joseph BenitezSt Johns, FL 322591083303622
- Kelsey Bloom, LCSWSaint Johns, FL 322591730892365
- Debbie Carroll-RebhanSaint Johns, FL 322591114384443
- Alicia Kiernan, LCSWSaint Johns, FL 322591811561848
- Jonmeliah MallorySt Johns, FL 322591639712896
- Kristin MooreSaint Johns, FL 322591871956169
- Faith Moorhouse, LCSWJacksonville, FL 322591760116461
- Laura Soderholm, LCSWSt Johns, FL 322591770283947
Common questions
What is Douglas Mark Shine, L.C.S.W.'s NPI number?
Douglas Mark Shine, L.C.S.W.'s National Provider Identifier (NPI) is 1992821201, issued on Mar 21, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Douglas Mark Shine, L.C.S.W. located?
The NPPES record lists a practice address at 1705 Duck Water CT, Saint Johns, FL, 32259. Phone: (904) 287-3122. Providers update this record themselves, so call before visiting.
How can I verify Douglas Mark Shine, L.C.S.W.'s license?
NPPES lists Florida license number SW0001447, as entered by the provider. Search the Florida health license search at https://mqa-internet.doh.state.fl.us/mqasearchservices/healthcareproviders. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.