Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Shane Thomas Raymond, LCSW

Individual provider Clinical Social Worker · NPI 1457516692

Mr. Shane Thomas Raymond, LCSW is a Clinical Social Worker in Brandon, Florida. Qualified in 2003, 23 years ago. Practices with Brandon Mental Health, a 15-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
23
Licensed in
FL
In the registry since
2008
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1134 Bell Shoals Rd
Brandon, FL 33511
Phone: (813) 315-8648
Fax: (813) 438-8973
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence SW9082 (FL)

Record details

NPI number1457516692
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJuly 28, 2008
Last updated in NPPESFebruary 23, 2022
Certification dateFebruary 23, 2022
Mailing address1134 Bell Shoals Rd, Brandon, FL 33511

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Brandon Mental Health — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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