R. Dennis Shelby

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149002949 Issued in IL

Legal business name

R. DENNIS SHELBY

Practice address

348 E 1325 N
Chesterton, IN 46304-9540

Phone

(312) 458-9214

NPI assigned

Jun 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Robert Dennis Shelby, MSW, PHDNPI 1154333862

Title

Sole Proprietor

Phone

(312) 458-9214

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Dennis Shelby, LCSW

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1154333862
  NPD (past) Authorized official

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1295938546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 N MICHIGAN AVE",
            "address_2": "2413",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017401",
            "telephone_number": "312-458-9214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 E 1325 N",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463049540",
            "telephone_number": "312-458-9214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R. DENNIS SHELBY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "SHELBY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "DENNIS",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "312-458-9214",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MSW, PHD"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149002949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "01671068",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Pritchard, M.S., CCC-SLP
• April Marie Przyborski, PA-C
• Brandon Puent, RBT
• Quality of Life Institute, Inc
• Austin Tyler Qualizza, PA-C
• Jennifer Nicole Racette, D.P.T.
• Matthew David Radencic, DPT
• Robin Radtke
• Ann Elaine Raffenaud-Macker, LMHC
• Connor Rago

• Clinical Social Worker in Chesterton, IN
• Providers in Chesterton, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.