Individual provider Active NPI

Shelby Jones, MSW, ACSW

  • Clinical Social Worker
  • Redding, CA
National Provider Identifier
1841957677
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
105568 Issued in CA
Practice address
1110 Shasta St
Redding, CA 96001-0808
Phone
(530) 945-1902
NPI assigned
Nov 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

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 105568 CA Primary

Addresses

Primary practice location

1110 Shasta St
Redding, CA 96001-0808

Mailing address

1095 Hilltop Dr # 369
Redding, CA 96003-3811
Phone (530) 768-1880

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
105568CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Legacy Center CurrentSince Dec 5, 2021 Accepting new patients
Children's Legacy Center PastSince Jun 21, 2022 Accepting new patients

Locations

1110 Shasta St
Redding, CA 96001
Phone (530) 410-9224

1400 Oregon St
Redding, CA 96001
Phone (530) 232-0525

1095 Hilltop Dr
Redding, CA 96003
Phone (530) 328-1544

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1638144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1841957677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1095 HILLTOP DR # 369",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960033811",
            "telephone_number": "530-768-1880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 SHASTA ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010808",
            "telephone_number": "530-945-1902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "SHELBY",
        "credential": "MSW, ACSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-29",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "105568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; 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.