Stephanie Michelle Shelton, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.018912 Issued in IL

Practice address

434 Neosho St
Park Forest, IL 60466-2542

Phone

(708) 802-3618

NPI assigned

Feb 22, 2017

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

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Clinical Social Worker

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Healing Steps Counseling PCGroup PAC ID 7012241938, 2 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Healing Steps Counseling, PC

  • Adolescent and Children Mental Health Clinic/Center
  • Park Forest, IL
  • NPI 1881257806
  Medicare reassignment Care Compare group Authorized official
• Chicago Christian Counseling Center Inc

  • Clinical Social Worker
  • Orland Park, IL
  • NPI 1083664510
  Medicare reassignment NPD

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

{
    "created_epoch": "1487721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1275072308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 NEOSHO ST",
            "city": "PARK FOREST",
            "state": "IL",
            "postal_code": "604662542",
            "telephone_number": "708-802-3618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 NEOSHO ST",
            "city": "PARK FOREST",
            "state": "IL",
            "postal_code": "604662542",
            "telephone_number": "708-802-3618"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15127 S 73rd Ave Ste G",
            "address_purpose": "LOCATION",
            "city": "Orland Park",
            "state": "IL",
            "postal_code": "604623425",
            "country_code": "US",
            "telephone_number": "800-361-6880",
            "fax_number": "708-845-5505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "STEPHANIE",
        "middle_name": "MICHELLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-22",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.018912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Safe Care Home Care
• Lena Safi
• Serenity Healthcare Consultants, Limited
• Serenity Healthcare Professionals LLC
• David Joseph Sheldon, LICENSED SPEECH-LANG
• Shine on Me Inc. of Illinois
• Roselyn Shine
• Simabllc
• Simplifycare Inc
• Sound Diagnostics LTD

• Clinical Social Worker in Park Forest, IL
• Providers in Park Forest, 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 Mar 17, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.