Andrew William Shelton, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.020684 Issued in IL

Practice address

PO Box 514
Skokie, IL 60076-0514

Phone

(312) 680-4097

Fax

(773) 409-8576

NPI assigned

Jan 16, 2018

Sex

Male

Sole proprietor

Yes

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)

Not 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 and National Provider Directory roles.

• Roots of Renewal Therapy PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Skokie, IL
  • NPI 1548065840
  NPD Authorized official

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

{
    "created_epoch": "1516060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1215445945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 514",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600760514",
            "telephone_number": "312-680-4097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 514",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600760514",
            "telephone_number": "312-680-4097",
            "fax_number": "773-409-8576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "ANDREW",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-16",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.101899",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.020684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sushil K Sharma, M.D.
• Aryn Lynn Shay, APN-CNP
• Aisha Daniele Shealey, M.S.W.
• Kathleen Alexandra Sheeran, AUD
• Shefah Healthcare SC
• Katherine L Shepherd, MD
• Boris Sheynin, M.D.
• Layla Bato Shiba
• Shifa Medical Services Inc
• Pauline J Shipley, MD

• Clinical Social Worker in Skokie, IL
• Providers in Skokie, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.