M & K Shelton, Licensed Clinical Social Worker, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

M & K SHELTON, LICENSED CLINICAL SOCIAL WORKER, INC

Practice address

1212 Suncast LN
El Dorado Hills, CA 95762-9685

Phone

(413) 522-9629

NPI assigned

Feb 17, 2021

Organization subpart

No

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

Authorized official

Name

Mark Shelton, LCSWNPI 1215947528

Title

Psychotherapist

Phone

(413) 522-9629

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark D Shelton, LICSW

  • Social Worker
  • Worcester, MA
  • NPI 1215947528
  NPD Authorized official

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

{
    "created_epoch": "1613520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613520000000",
    "number": "1770176141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 HOPFIELD DR",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956308062",
            "telephone_number": "413-522-9629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 SUNCAST LN",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957629685",
            "telephone_number": "413-522-9629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M & K SHELTON, LICENSED CLINICAL SOCIAL WORKER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-17",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A",
        "authorized_official_last_name": "SHELTON",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "413-522-9629",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Luong
• Luxottica of America Inc.
• Davin Luu Ly, PHARM.D.
• Amy Lykes, LMFT
• Timothy Lyons
• Kimberly Anne Mabanta
• Sarah Macchia
• Michelle Grace Granstrom Macdavid, MD
• Shawna Mace
• Ingrid Lorraine Mack

• Community/Behavioral Health Agency in El Dorado Hills, CA
• Providers in El Dorado Hills, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; 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.