Individual provider Active NPI

Rebecca Candace Shelton-Williams, LMSW

  • Clinical Social Worker
  • Southfield, MI
National Provider Identifier
1740428820
Registry record updated Jan 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801085506 Issued in MI
Practice address
22511 Telegraph Rd Ste 101
Southfield, MI 48033-4108
Phone
(248) 356-0540
Fax
(248) 356-0539
NPI assigned
Jan 28, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801085506 MI Primary

Addresses

Primary practice location

22511 Telegraph Rd Ste 101
Southfield, MI 48033-4108

Mailing address

22511 Telegraph Rd Ste 101
Southfield, MI 48033-4108
Phone (248) 356-0540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090818000341 MI Practitioner - Clinical Social Worker 8820142383 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Total One Resources Inc CurrentSince Apr 8, 2024 Accepting new patients
Soka Services Clinical Past Accepting new patients

Locations

23300 Greenfield Rd
Ste 122
Oak Park, MI 48237
Phone (248) 968-9508

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1233100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233100800000",
    "number": "1740428820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22511 TELEGRAPH RD STE 101",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480334108",
            "telephone_number": "248-356-0540",
            "fax_number": "248-356-0539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22511 TELEGRAPH RD STE 101",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480334108",
            "telephone_number": "248-356-0540",
            "fax_number": "248-356-0539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON-WILLIAMS",
        "first_name": "REBECCA",
        "middle_name": "CANDACE",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-28",
        "last_updated": "2009-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801085506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.