Shelton Family Center

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

SHELTON FAMILY CENTER

Doing business as

The Youth Connection

Practice address

123 S 2ND St
Shelton, WA 98584-3528

Phone

(360) 462-0125

NPI assigned

Apr 19, 2024

Organization subpart

No

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

Authorized official

Name

Susan Kirchoff, MAHS, MBA

Title

Executive Director

Phone

(360) 462-0125

Specialties & licenses 1

Addresses

Other names 1

• The Youth Connection Doing business as

Locations

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

{
    "created_epoch": "1713484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713484800000",
    "number": "1497500789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2341",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985845059",
            "telephone_number": "360-462-0125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 S 2ND ST",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985843528",
            "telephone_number": "360-462-0125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELTON FAMILY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-19",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A",
        "authorized_official_last_name": "KIRCHOFF",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "360-462-0125",
        "authorized_official_credential": "MAHS, MBA"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Youth Connection",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alyssa Sethi, DO
• Jackie Shaffer
• Resa Shaner, PA-C
• Shelton Assisted Living (Maple Glen Assisted Living)
• Shelton Chiropractic and Wellness LLC
• Shelton Family Eye Care, LLC
• Shelton Family Medicine P.L.L.C.
• Shelton Family Medicine PLLC
• Shelton Physical Therapy and Sports Medicine Clinic P.S.
• Shelton School District

• Social Worker in Shelton, WA
• Providers in Shelton, WA by specialty
• Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; 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.