Active NPI
Shelby Sampson, LSW
- Social Worker
- Grand Junction, CO
National Provider Identifier
1245931435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 0009924678
- Practice address
- 321 Rood Ave
Grand Junction, CO 81501-2420 - Phone
- (970) 245-7682
- NPI assigned
- Mar 14, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 0009924678 | CO | Primary |
Addresses
Primary practice location
321 Rood Ave
Grand Junction, CO 81501-2420
Mailing address
3520 F Rd
Clifton, CO 81520-8434
Phone (970) 712-8070
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0009924678 | CO | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678752000000",
"number": "1245931435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3520 F RD",
"city": "CLIFTON",
"state": "CO",
"postal_code": "815208434",
"telephone_number": "970-712-8070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 ROOD AVE",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815012420",
"telephone_number": "970-245-7682"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMPSON",
"first_name": "SHELBY",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-14",
"last_updated": "2023-03-14",
"certification_date": "2023-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CO",
"license": "0009924678",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Junction, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.