Individual provider Active NPI

Shawnta Shelton

  • Clinical Social Worker
  • North Chesterfield, VA
National Provider Identifier
1124918271
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0906015643 Issued in VA
Practice address
9409 Hull Street Rd Ste F2
North Chesterfield, VA 23236-1200
Phone
(804) 477-7691
NPI assigned
Jul 8, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0906015643 VA Primary

Addresses

Primary practice location

9409 Hull Street Rd Ste F2
North Chesterfield, VA 23236-1200

Mailing address

9409 Hull Street Rd Ste F2
North Chesterfield, VA 23236-1200
Phone (804) 477-7691

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0906015643VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Family Counseling Group CurrentSince Jul 13, 2025 Accepting new patients

Locations

9409 Hull Street Rd
Ste F2
North Chesterfield, VA 23236
Phone (804) 477-7691

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1751932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1124918271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9409 HULL STREET RD STE F2",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232361200",
            "telephone_number": "804-477-7691",
            "fax_number": "804-477-7691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9409 HULL STREET RD STE F2",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232361200",
            "telephone_number": "804-477-7691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "SHAWNTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-08",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0906015643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; 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.