Shelly D McClung
Individual provider Active NPI Social Worker · Eccles, WV
NPI 1700634003 · NPPES record last updated May 10, 2024
Key facts
- NPI
- 1700634003
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- AP00942036 (WV)
- Practice address
- 113 Pendelton Ave
Eccles, WV 25836 - Phone
- (304) 575-2752
- NPI assigned
- May 10, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP00942036 | WV | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | AP00942036 | WV | Yes |
Addresses
Primary practice location
113 Pendelton Ave
Eccles, WV 25836
Mailing address
PO Box 22
Eccles, WV 25836-0022
Phone (304) 575-2752
Other providers in Eccles, WV
- Laura Coffman
- Jennifer Daniel
- Cheyenne Destiny Farley
- Diana Sue Jenkins
- Margaret Kuhn
- Cara Jean Pugh
- Nicholas Pugh
- Kimberly Dawn Shiflett
All providers in Eccles, WV · Social Worker in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 10, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.