Individual provider Active NPI

Tobin Shelton, LSCW/LICSW

  • Clinical Social Worker
  • Santa Monica, CA
National Provider Identifier
1962898981
Registry record updated Mar 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LICSW30386 Issued in MN
Practice address
2401 Lincoln Blvd
Santa Monica, CA 90405-3801
Phone
(310) 664-7789
NPI assigned
Apr 7, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW75654 CA
Clinical Social Worker 1041C0700X LICSW30386 MN Primary

Addresses

Primary practice location

2401 Lincoln Blvd
Santa Monica, CA 90405-3801

Mailing address

3357 36TH Ave S
Minneapolis, MN 55406-2130
Phone (303) 241-6594

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170511001703 CA Practitioner - Clinical Social Worker 4486931805 Reassigns benefits to 1 organization
I20211111002209 MN Practitioner - Clinical Social Worker 4486931805 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Oliver Ross Psychology and Consulting LLCGroup PAC ID 0244538064, 5 clinicians

Practice addresses (Care Compare)

771 Raymond Ave
Saint Paul, MN 55114-1522
Phone (651) 243-2292

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW75654CAMDClinical Social Worker
LICSW30386MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Venice Family Clinic Current Accepting new patients
Venice Family Clinic CurrentSince Mar 1, 2017 Accepting new patients
Venice Family Clinic Current Accepting new patients
Oliver Ross Psychology and Consulting LLC CurrentSince Oct 1, 2021 Accepting new patients
Venice Family Clinic CurrentSince Mar 1, 2017 Accepting new patients
Venice Family Clinic Current Accepting new patients
Venice Family Clinic PastSince Apr 25, 2021 Accepting new patients

Locations

4700 Inglewood Blvd
Ste 102
Los Angeles, CA 90230
Phone (310) 664-7901

2509 Pico Blvd
Santa Monica, CA 90405
Phone (310) 664-7901

604 Rose Ave
Venice, CA 90291
Phone (310) 392-8630

905 Venice Blvd
Venice, CA 90291
Phone (310) 392-8630

771 Raymond Ave
Saint Paul, MN 55114
Phone (612) 235-6743

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 7

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": "1428364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773446400000",
    "number": "1962898981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3357 36TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554062130",
            "telephone_number": "303-241-6594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 LINCOLN BLVD",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904053801",
            "telephone_number": "310-664-7789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "TOBIN",
        "name_prefix": "Mr.",
        "credential": "LSCW/LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-07",
        "last_updated": "2026-03-14",
        "certification_date": "2026-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW75654",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "LICSW30386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.