Shelby S Buckles, MSW LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

5356-S Issued in NV

Practice address

4285 N Rancho Dr
130
Las Vegas, NV 89130-3446

Phone

(702) 385-5331

Fax

(702) 385-5678

NPI assigned

Jan 5, 2011

Last updated

Jan 5, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Shelby S Morris Former name

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Neubauer Mental Health Services, Apc

  • Clinical Social Worker
  • Las Vegas, NV
  • NPI 1316273832
  Medicare reassignment NPD
• Pinnacle Mental Health Services Inc

  • Clinical Social Worker
  • Las Vegas, NV
  • NPI 1215572201
  NPD (past)
• Specialized Alternatives for Families and Youth of Nevada, Inc.

  • Foster Care Agency
  • Las Vegas, NV
  • NPI 1841883386
  NPD (past)

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

{
    "created_epoch": "1294185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294185600000",
    "number": "1225332265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4285 N RANCHO DR",
            "address_2": "130",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891303446",
            "telephone_number": "702-385-5331",
            "fax_number": "702-385-5678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4285 N RANCHO DR",
            "address_2": "130",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891303446",
            "telephone_number": "702-385-5331",
            "fax_number": "702-385-5678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKLES",
        "first_name": "SHELBY",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "MSW LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-05",
        "last_updated": "2011-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NV",
            "license": "5356-S",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELBY",
            "last_name": "MORRIS",
            "middle_name": "S",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Deserae Buckingham
• Natasha Buckingham
• Bonnie Katherine Buckles, M.D.
• James Buckles
• Raphael Buckles
• Brenda Buckley
• Heidi Buckley
• Loretta Buckley
• Melissa Buckley, CPC-INTERN
• Qiana Buckley

• Social Worker in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.