Matthew Shackelford in Pasadena - Clinical
Matthew Shackelford - NPI 1275731556
Matthew Shackelford is a Clinical in Pasadena, California. Matthew Shackelford practices all healthcare services and medical treatments related to Clinical. The NPI Number for Matthew Shackelford is 1275731556. The last update date is 2021-11-30.
Matthew Shackelford's current location address is 393 E Walnut St, Pasadena, California. You can contact this provider via phone number 6264057914 and fax number 6264056768. The mailing address for Matthew Shackelford is 393 E Walnut St, Pasadena, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Matthew Shackelford |
|---|---|
| Address | 393 E Walnut St, Pasadena, California |
| Phone Number | 6264057914 |
| Fax Number | 6264056768 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1275731556 |
|---|---|
| Provider Enumeration Date | 2007-07-06 |
| Last Updated Date | 2021-11-30 |
Provider Mailing Address Detail
| Address | 393 E Walnut St |
|---|---|
| City | Pasadena |
| State | California (CA) |
| Post Code | 911880001 |
| Phone Number | 6264057914 |
| Fax Number | 6264056768 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS18861 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Matthew Shackelford by the Centers for Medicare & Medicaid Services?
The Matthew Shackelford has been issued the NPI (National Provider Identifier) 1275731556, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Matthew Shackelford is physically located?
The Matthew Shackelford is physically situated at the following address: 393 E Walnut St, Pasadena, CA, 911880001.
What is Matthew Shackelford's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Matthew Shackelford is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
When did the Matthew Shackelford receive its 1275731556?
The Matthew Shackelford was issued its 1275731556 on 2007-07-06, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Matthew Shackelford most recently updated or revised?
The information pertaining to Matthew Shackelford, including its address, specialty, and other relevant details, was last updated or revised on 2021-11-30.