Active NPI
Shelby Mainville, LCSW
- Clinical Social Worker
- Gunnison, CO
National Provider Identifier
1962020974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW.09928350
- Practice address
- 300 E Denver Ave
Gunnison, CO 81230-2210 - Phone
- (970) 648-7128
- Fax
- (833) 324-1646
- NPI assigned
- Jul 7, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | CSW.09928350 | CO | Primary |
Addresses
Primary practice location
300 E Denver Ave
Gunnison, CO 81230-2210
Mailing address
711 N Taylor St
Gunnison, CO 81230-2208
Phone (970) 648-7128
Other practice location 1
710 N Taylor St
Gunnison, CO 81230-2244
Phone (970) 252-3200
Medicare participation
Medicare enrollment files- 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shelby Mainville Counseling LLC | Current | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Gunnison, CO
- NPI 1326732850
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683590400000",
"number": "1962020974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 N TAYLOR ST",
"city": "GUNNISON",
"state": "CO",
"postal_code": "812302208",
"telephone_number": "970-648-7128",
"fax_number": "833-324-1646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 E DENVER AVE",
"city": "GUNNISON",
"state": "CO",
"postal_code": "812302210",
"telephone_number": "970-648-7128",
"fax_number": "833-324-1646"
}
],
"practiceLocations": [
{
"address_1": "710 N Taylor St",
"address_purpose": "LOCATION",
"city": "Gunnison",
"state": "CO",
"postal_code": "812302244",
"country_code": "US",
"telephone_number": "970-252-3200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAINVILLE",
"first_name": "SHELBY",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-07",
"last_updated": "2023-05-09",
"certification_date": "2023-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "CSW.09928350",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gunnison, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; 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.