Patricia Shelton, LCSW, CCM

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

047206-A21 Issued in NY

Practice address

19 Rockwell PL
Brooklyn, NY 11217-1113

Phone

(718) 260-2712

Fax

(718) 260-2705

NPI assigned

Jun 26, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1277510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277510400000",
    "number": "1669783403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 ROCKWELL PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112171113",
            "telephone_number": "718-260-2712",
            "fax_number": "718-260-2705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 ROCKWELL PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112171113",
            "telephone_number": "718-260-2712",
            "fax_number": "718-260-2705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "PATRICIA",
        "credential": "LCSW, CCM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-26",
        "last_updated": "2010-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "047206-A21",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Shelley, LMT
• Shells Healing Hands, Inc
• Steven P Shelov, MD
• Cohloe-Shai R Shelton, DDS
• Natalie Shelton
• Raven Shelton, LMSW
• Shaniqua Shelton, LCSW
• Sheree Maxina Shelton
• Stephanie Shelton, LMSW
• James Eliezer Shem, RN

• Clinical Social Worker in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.