Shelby Markum, LSCSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2005026106 Issued in MO

Practice address

305 NW Englewood CT Ste 300
Gladstone, MO 64118-4000

Phone

(816) 453-7473

NPI assigned

Jun 3, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1243987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281139200000",
    "number": "1346476330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 NW ENGLEWOOD CT STE 300",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641184000",
            "telephone_number": "816-453-7473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 NW ENGLEWOOD CT STE 300",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641184000",
            "telephone_number": "816-453-7473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKUM",
        "first_name": "SHELBY",
        "credential": "LSCSW,  LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-03",
        "last_updated": "2010-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2005026106",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "3583",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Anne Madera, MSN, FNP-C
• Cassandra Renee Malcolm, PLPC
• Aysha Malik, PHARMD
• Andrew Mancin
• Dixie Sue Manroe, FNP BC
• Douglass Eugene Martin, ED.D.
• Emily Kay Marx, D.D.S.
• April J Matusiak
• MC Medical LLC (Walmart Health)
• Kathryn R McCampbell, OD

• Clinical Social Worker in Gladstone, MO
• Providers in Gladstone, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2010; 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.