Active NPI
Tobin Shelton, LSCW/LICSW
- Clinical Social Worker
- Santa Monica, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LICSW30386
- 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
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 |
|---|---|---|---|---|
| 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, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2012
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW75654 | CA | MD | Clinical Social Worker |
| LICSW30386 | MN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Venice Family Clinic | Current | Accepting new patients | |
| Venice Family Clinic | Current | Accepting new patients | |
| Venice Family Clinic | Current | Accepting new patients | |
| Oliver Ross Psychology and Consulting LLC | Current | Accepting new patients | |
| Venice Family Clinic | Current | Accepting new patients | |
| Venice Family Clinic | Current | Accepting new patients | |
| Venice Family Clinic | Past | 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
- 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.
-
- Group Psychotherapy Psychologist
- Saint Paul, MN
- NPI 1689030231
-
- Federally Qualified Health Center (FQHC)
- Venice, CA
- NPI 1669418513
-
- Federally Qualified Health Center (FQHC)
- Culver City, CA
- NPI 1003842360
-
- Federally Qualified Health Center (FQHC)
- Venice, CA
- NPI 1124054564
-
- Federally Qualified Health Center (FQHC)
- Hawthorne, CA
- NPI 1518739515
-
- Federally Qualified Health Center (FQHC)
- Santa Monica, CA
- NPI 1558397067
-
- Federally Qualified Health Center (FQHC)
- Santa Monica, CA
- NPI 1861935652
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.