Carol Sue Shelton, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

30502 Issued in TX

Practice address

2928 W 5TH St
Fort Worth, TX 76107-2242

Phone

(817) 332-6348

NPI assigned

Apr 1, 2009

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

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.

• Healing and Hope Counseling

  • Community/Behavioral Health Agency
  • Ennis, TX
  • NPI 1114590866
  NPD Authorized official
• The Parenting Center

  • Professional Counselor
  • Fort Worth, TX
  • NPI 1396965042
  NPD (past)

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

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310342400000",
    "number": "1285876441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2928 W 5TH ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761072242",
            "telephone_number": "817-332-6348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2928 W 5TH ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761072242",
            "telephone_number": "817-332-6348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "CAROL",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-01",
        "last_updated": "2011-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "30502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Shelbourne
• Joshua Tanner Shelby, DPT
• Shalitha Shelby
• Alexis Shelley
• Shelly R Smith Rnfa Surgical Assist PLLC
• Heather Powell Shelton, M.D.
• Huntly Elberto Shelton III, PH.D.
• Joseph Houston Shelton, M.D.
• Mark M Shelton, MD
• Nicole Shelton, PMHNP-BC

• Clinical Social Worker in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2011; 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.