Individual provider Active NPI

Paula Marie Shelner, LMSW

  • Social Worker
  • Kalamazoo, MI
National Provider Identifier
1770869034
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801092619 Issued in MI
Practice address
3307 E Kilgore Rd
Kalamazoo, MI 49001-5594
Phone
(269) 341-9910
NPI assigned
Oct 31, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801092619 MI
Social Worker 104100000X 6801092619 MI Primary

Addresses

Primary practice location

3307 E Kilgore Rd
Kalamazoo, MI 49001-5594

Mailing address

4269 Frontier Ave
Portage, MI 49024-4615

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

State licenses

LicenseStateTypeSpecialty
6801092619MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Connected Counseling LLC Social Worker CurrentSince Apr 6, 2023 Accepting new patients

Locations

3307 E Kilgore Rd
Kalamazoo, MI 49001
Phone (269) 341-9910

Organizations & group practices 1

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": "1320019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1770869034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4269 FRONTIER AVE",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490244615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3307 E KILGORE RD",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490015594",
            "telephone_number": "269-341-9910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELNER",
        "first_name": "PAULA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-31",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801092619",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801092619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; 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.