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 Saint Johns Clinical Social Worker, average services per provider: 83. This provider delivers 2.0× the peer median.Frequently asked questions
What is Dr. Douglas Shine's medical specialty?
Dr. Douglas Shine practices Clinical Social Worker in Saint Johns, FL.
Where does Dr. Douglas Shine practice?
Dr. Douglas Shine practices at 1705 Duck Water CT, Saint Johns, FL 322595247. Office phone: 9042873122.
What is Dr. Douglas Shine's NPI?
Dr. Douglas Shine's National Provider Identifier (NPI) is 1992821201, issued by NPPES.
Does Dr. Douglas Shine accept Medicare assignment?
Yes. Dr. Douglas Shine accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Douglas Shine commonly perform?
Top Medicare-reported procedures in 2023: Psychotherapy (HCPCS 90837); Psychiatric diagnostic evaluation (HCPCS 90791). Source: CMS Medicare Physician & Other Practitioners file.