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MAGGIE SHACKELFORD NPI 1609248715


NPI Information

NPI: 1609248715
Provider Name: MAGGIE SHACKELFORD
Classification: Social Worker - 104100000X
Entity Type: Individual

PECOS Registration: Yes

Address:
4760 SEPULVEDA BLVD
CULVER CITY, CA
ZIP 90230
Phone: (310) 390-6612
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Maggie Shackelford is a social worker in Culver City, CA. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. Maggie Shackelford NPI is 1609248715. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4760 SEPULVEDA BLVD
CULVER CITY, CA
ZIP 90230-820
Phone: (310) 390-6612
Fax: (310) 398-5690

The NPI 1609248715 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 10/28/2015 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health84957CALIFORNIANo
2390200000XStudent in an Organized Health Care Education/Training ProgramNo
3104100000XSocial Worker84957CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.