Active NPI
Patricia Carole Shelton, LCSW-C
- Clinical Social Worker
- Silver Spring, MD
National Provider Identifier
1780715227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- G09671
- Practice address
- 1620 Elton Rd Ste 204
Silver Spring, MD 20903-1760 - Phone
- (301) 439-7191
- Fax
- (301) 439-1169
- NPI assigned
- Mar 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | G09671 | MD | Primary |
Addresses
Primary practice location
1620 Elton Rd Ste 204
Silver Spring, MD 20903-1760
Mailing address
1620 Elton Rd Ste 204
Silver Spring, MD 20903-1760
Phone (301) 439-7191
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 258327 | Other | MD | KAISER |
| 722622 | Other | MD | NCPPO |
| 64276401 | Other | MD | BC BS |
| 2133173 | Other | MD | MAMSI |
| 7201621 | Other | MD | AETNA |
| F127-0018 | Other | DC | BC BS |
| 773407-00 | Other | MH | MAGELLAN |
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
| License | State | Type | Specialty |
|---|---|---|---|
| G09671 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780715227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1620 ELTON RD STE 204",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209031760",
"telephone_number": "301-439-7191",
"fax_number": "301-439-1169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1620 ELTON RD STE 204",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209031760",
"telephone_number": "301-439-7191",
"fax_number": "301-439-1169"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHELTON",
"first_name": "PATRICIA",
"middle_name": "CAROLE",
"name_prefix": "Ms.",
"credential": "LCSW-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "G09671",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER",
"identifier": "258327",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPPO",
"identifier": "722622",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS",
"identifier": "64276401",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "2133173",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7201621",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS",
"identifier": "F127-0018",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "773407-00",
"state": "MH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.