Individual provider Active NPI

Shelby Lynne Erlacker, LMSW

  • Social Worker
  • Perryville, MO
National Provider Identifier
1295534139
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
2025006391 Issued in MO
Practice address
406 N Spring St Ste 2
Perryville, MO 63775-1912
Phone
(573) 547-8305
Fax
(573) 547-8306
NPI assigned
Mar 12, 2025
Last updated
Mar 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 2025006391 MO Primary

Addresses

Primary practice location

406 N Spring St Ste 2
Perryville, MO 63775-1912

Mailing address

406 N Spring St Ste 2
Perryville, MO 63775-1912
Phone (573) 547-8305

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

LicenseStateTypeSpecialty
2025006391MOMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Counseling Center CurrentSince Mar 20, 2025 Accepting new patients
Community Counseling Center PastSince Mar 20, 2025 Accepting new patients

Locations

406 N Spring St
Ste 2
Perryville, MO 63775
Phone (573) 547-8305

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1741737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1295534139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 N SPRING ST STE 2",
            "city": "PERRYVILLE",
            "state": "MO",
            "postal_code": "637751912",
            "telephone_number": "573-547-8305",
            "fax_number": "573-547-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 N SPRING ST STE 2",
            "city": "PERRYVILLE",
            "state": "MO",
            "postal_code": "637751912",
            "telephone_number": "573-547-8305",
            "fax_number": "573-547-8306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERLACKER",
        "first_name": "SHELBY",
        "middle_name": "LYNNE",
        "name_prefix": "Miss",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-12",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MO",
            "license": "2025006391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perryville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; 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.