Bruce B Shelton, LCSW, CSAC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904005097 Issued in VA

Practice address

921 First Colonial Rd
Suite 1711
Virginia Beach, VA 23454-3167

Phone

(757) 428-7500

Fax

(757) 428-7699

NPI assigned

Aug 8, 2006

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/9229a1fd-2cd1-41dc-9da8-258046291286/

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.

• City of Virginia Beach

  • Ambulance
  • Virginia Beach, VA
  • NPI 1013704246
  NPD (past)

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494547200000",
    "number": "1922018621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 FIRST COLONIAL RD",
            "address_2": "SUITE 1711",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543167",
            "telephone_number": "757-428-7500",
            "fax_number": "757-428-7699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 FIRST COLONIAL RD",
            "address_2": "SUITE 1711",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543167",
            "telephone_number": "757-428-7500",
            "fax_number": "757-428-7699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "BRUCE",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "LCSW, CSAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2017-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904005097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010187991",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Merin Shekitka, PT
• Lisa Evette Harrell Shellman, QMHP-A, QMHP-C
• Sheltering Arms Residential LLC
• Sheltering Hearts Transportation LLC
• April Dawn Shelton
• Felicia Shelton, BCBA
• Lori Sumerford Shelton, PA-C
• You Jun Shen, MD
• Teresa A Shenouda, M.D.
• Kristin Kirkland Shepherd, PA-C

• Clinical Social Worker in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2017; 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.