Marie T Shelton

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1349C Issued in AR

Practice address

4425 Jefferson Ave
Suite 106
Texarkana, AR 71854-1535

Phone

(870) 216-1700

Fax

(870) 772-5965

NPI assigned

Jan 30, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brittain & Associates Inc

  dba Carousel Clinical Services

  • Clinical Psychologist
  • Ore City, TX
  • NPI 1285650457
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003953357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4915 TEXAS HIGHWAY 43",
            "city": "BIVINS",
            "state": "TX",
            "postal_code": "755552053",
            "telephone_number": "903-796-4749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 JEFFERSON AVE",
            "address_2": "SUITE 106",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718541535",
            "telephone_number": "870-216-1700",
            "fax_number": "870-772-5965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "MARIE",
        "middle_name": "T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "1349C",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "02075",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Austin Sewell
• Shelby A Sewell, RNFA
• Scott Anthony Seymore, MHPP
• Alcanio Shanks
• Michael Allen Shaw, MD
• Steven Elliot Shelton
• Lesa Ann Shipp, PTA
• Megan Christensen Shumake, LCSW
• Christopher Shupe, MHPP
• Signature Therapy

• Clinical Social Worker in Texarkana, AR
• Providers in Texarkana, AR by specialty
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.