Doctor profile · Federal record
Dr. DOUGLAS SHINE, L.C.S.W.
Clinical Social Worker · SAINT JOHNS, FL
- NPI 1992821201
- Accepts Medicare
- 54 yrs in practice
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
1705 DUCK WATER CT
SAINT JOHNS, FL 322595247
(904) 287-3122
fax (904) 287-3122
Credentials & registration
- NPI registered
- March 2007 — 19 yrs on file
- Profile last updated
- September 10, 2012
- Year of graduation
- 1972 — 54 yrs since
- Specialty taxonomy
- 1041C0700X — NUCC code
- State license (1)
- Florida #SW0001447
- Medicaid
- FL #761636800
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1992821201. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
166
Distinct HCPCS
2
Medicare allowed
$17,739
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
90837 |
Psychotherapy, 1 hour | 151 | 25 | $105 | |
90791 |
Psychiatric diagnostic evaluation | 15 | 15 | $127 |
In context: peer comparison
Among 1 peers in this city , average services per provider: 83. This provider delivers 2.0× the peer median.