Individual provider Active NPI

Carole J Shelton, LCSW-C

  • Clinical Social Worker
  • Westminster, MD
National Provider Identifier
1811522113
Registry record updated Mar 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
07719 Issued in MD
Practice address
1812 Baltimore Blvd Ste B
Westminster, MD 21157-7144
Phone
(443) 590-0030
NPI assigned
Mar 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 07719 MD Primary

Addresses

Primary practice location

1812 Baltimore Blvd Ste B
Westminster, MD 21157-7144

Mailing address

1812 Baltimore Blvd Ste B
Westminster, MD 21157-7144
Phone (443) 590-0030

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.tcc4change.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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

Enrollment IDStateProvider typePAC IDDetails
I20200331003018 MD Practitioner - Clinical Social Worker 9638508310 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dawn Ader O'Meally LCSW-C PAGroup PAC ID 4981624285, 3 clinicians

Practice addresses (Care Compare)

1812 Baltimore Blvd
Suite B
Westminster, MD 21157-7144
Phone (443) 590-0030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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": "1583452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583452800000",
    "number": "1811522113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 BALTIMORE BLVD STE B",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211577144",
            "telephone_number": "443-590-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 BALTIMORE BLVD STE B",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211577144",
            "telephone_number": "443-590-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "CAROLE",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-06",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "07719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.tcc4change.com",
            "affiliation": "N",
            "address_1": "1812 Baltimore Blvd Ste B",
            "city": "Westminster",
            "state": "MD",
            "country_code": "US",
            "postal_code": "211577144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

Verify at the official NPI Registry.