Active NPI
Ivy Shelton, LGSW
- School Social Worker
- Washington, DC
National Provider Identifier
1659287084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- License
- LG200004555
- Practice address
- 4530 Wisconsin Ave NW
Washington, DC 20016-4627 - Phone
- (202) 536-4414
- NPI assigned
- Aug 24, 2026
- Last updated
- Aug 24, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | LG200004555 | DC | Primary |
Addresses
Primary practice location
4530 Wisconsin Ave NW
Washington, DC 20016-4627
Mailing address
4530 Wisconsin Ave NW
Washington, DC 20016-4627
Phone (202) 536-4414
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787529600000",
"number": "1659287084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4530 WISCONSIN AVE NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200164627",
"telephone_number": "202-536-4414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4530 WISCONSIN AVE NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200164627",
"telephone_number": "202-536-4414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHELTON",
"first_name": "IVY",
"credential": "LGSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-08-24",
"last_updated": "2026-08-24",
"certification_date": "2026-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, School",
"state": "DC",
"license": "LG200004555",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.