Shelby Elizabeth Bussells, LCSW
Individual provider Active NPI Clinical Social Worker · White Stone, VA
NPI 1033934864 · NPPES record last updated Jun 9, 2026
Key facts
- NPI
- 1033934864
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 0904020584 (VA)
- Practice address
- 220 Chesapeake Dr Ste 1
White Stone, VA 22578-2656 - Phone
- (804) 577-8002
- NPI assigned
- Nov 18, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0906014809 | VA | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904020584 | VA | Yes |
Addresses
Primary practice location
220 Chesapeake Dr Ste 1
White Stone, VA 22578-2656
Mailing address
PO Box 1021
White Stone, VA 22578-1021
Other providers in White Stone, VA
- Accura Lab Services
- Robert Scott Barker
- Carter'S Transportation, LLC
- Brian Keith Cubbage
- Meredith Good
- Ronald H Herrsche
- Holistic Healing for the Mind and Soul, LLC
All providers in White Stone, VA · Clinical Social Worker in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.