Shelby Jane John, MSW, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

13592 Issued in MD

Practice address

1035 Emmorton Rd
Bel Air, MD 21014-5469

Phone

(410) 937-1386

NPI assigned

Oct 11, 2007

Last updated

Oct 1, 2014By 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

Other identifiers 1

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

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.

• Safe Harbor Behavioral Care, LLC

  • Clinical Social Worker
  • Bel Air, MD
  • NPI 1316487879
  Medicare reassignment NPD
• Wholistic Living, LLC

  • Mental Health Counselor
  • Bel Air, MD
  • NPI 1891198925
  Authorized official Same address or phone

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412121600000",
    "number": "1881882165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 CHATAU CT",
            "city": "FALLSTON",
            "state": "MD",
            "postal_code": "210472318",
            "telephone_number": "410-937-1386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 EMMORTON RD",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210145469",
            "telephone_number": "410-937-1386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHN",
        "first_name": "SHELBY",
        "middle_name": "JANE",
        "credential": "MSW, LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-11",
        "last_updated": "2014-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "13592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "414765100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Joeckel, MA, LCPC, CRC, ICADC
• John Gian MD LLC
• John J Davidson DC PA (Ultimate Health Chiropractic,Physiotherapy,Sports Rehab)
• John Mullally
• Casey John, PA-C
• Johns Hopkins Surgery Centers Series
• Johns Hopkins University (Jhu-Boulton St-Provider Type: 20-Physician)
• Johns Hopkins University (Jhu - 620 Boulton St - Provider Type: 20 - Physician)
• Suzette Martina Johnson Futrell, D.O.
• Blaine A Johnson, D.C.

• Clinical Social Worker in Bel Air, MD
• Providers in Bel Air, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2014; 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.