Individual provider Active NPI

Shelby Dallas Hetherington, CSWC, MSW

  • Clinical Social Worker
  • Lakewood, CO
National Provider Identifier
1275244261
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SWC.0000000846 Issued in CO
Practice address
1460 Pierce St
Lakewood, CO 80214-1941
Phone
(908) 947-8282
NPI assigned
Dec 9, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2022

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 SWC.0000000846 CO Primary

Addresses

Primary practice location

1460 Pierce St
Lakewood, CO 80214-1941

Mailing address

1460 Pierce St
Lakewood, CO 80214-1941

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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

Enrollment IDStateProvider typePAC IDDetails
I20250421003034 CO Practitioner - Clinical Social Worker 2163947292 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1460 Pierce St
Lakewood, CO 80214-1941
Phone (720) 263-1450

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SWC.0000000846COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
All Ears Therapy Center, PLLC Clinical CurrentSince Mar 3, 2025 Accepting new patients

Locations

1460 Pierce St
Lakewood, CO 80214
Phone (720) 263-1450

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": "1670544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1275244261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 PIERCE ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802141941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 PIERCE ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802141941",
            "telephone_number": "908-947-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HETHERINGTON",
        "first_name": "SHELBY",
        "middle_name": "DALLAS",
        "credential": "CSWC, MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-09",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "SWC.0000000846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.