Robert Vincent Shevlin, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904001711 Issued in VA

Practice address

12647 Olive Blvd
Suite 600
Saint Louis, MO 63141-6345

Phone

(800) 325-3982

NPI assigned

Jul 18, 2006

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801815113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4033 BREAKWATER DR",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237035321",
            "telephone_number": "757-483-8846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12647 OLIVE BLVD",
            "address_2": "SUITE 600",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416345",
            "telephone_number": "800-325-3982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEVLIN",
        "first_name": "ROBERT",
        "middle_name": "VINCENT",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904001711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zane Daniel Shetler, LCSW
• Anup Shashindra Shetty, MD
• Athmaram Shetty, M.D.
• Nisha Shetty, M.D.
• Vilaas S. Shetty, M.D.
• Jo Ann Shew, RN
• Matthew Allen Shew, MD
• Arsham Sheybani, MD
• Elizabeth Fowler Sheybani, MD
• Joe Shi, M.D.

• Clinical Social Worker in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Clinical Social Worker in Missouri

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.