Shelton Piland Poulter, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

090414636 Issued in VA

Practice address

2201 Charles St Ste 105
Fredericksburg, VA 22401-3378

Phone

(540) 845-6940

NPI assigned

Dec 7, 2022

Last updated

Dec 7, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in VA

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

Specialty

Clinical Social Worker

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healthy Minds Therapy PLLCGroup PAC ID 0941720577, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Healthy Minds Therapy PLLC

  • Family Psychologist
  • Alexandria, VA
  • NPI 1831606730
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1670371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1780395178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 N WASHINGTON ST STE 322",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223146498",
            "telephone_number": "540-845-6940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 CHARLES ST STE 105",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224013378",
            "telephone_number": "540-845-6940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POULTER",
        "first_name": "SHELTON",
        "middle_name": "PILAND",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-07",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "090414636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Positive Behavior Consult LLC.
• Jonathon Brian Posthumus, MD
• Beth Kyarayende Pottridge
• Prima Poudel, M.D.
• Thomas Poudrier, CSAC SUPERVISEE
• Amanda Powell, COTA/L
• Meghan Elise Powell, D.O.
• Theresa Powell, FNP-C
• William Mitchell Powell, DOCTOR OF OPTOMETRY
• Powerback Rehabilitation LLC (Powerback Rehabilitation)

• Clinical Social Worker in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.