Mr Derek Shelton, LCSWA | |
615 Shipyard Blvd, Wilmington, NC 28412-6431 | |
(910) 343-0145 | |
Not Available |
Full Name | Mr Derek Shelton |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 10 Years |
Location | 615 Shipyard Blvd, Wilmington, North Carolina |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720492994 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | P008779 (North Carolina) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Coastal Horizons Center, Inc. | 9739267964 | 41 |
Entity Name | Coastal Horizons Center, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922022607 PECOS PAC ID: 9739267964 Enrollment ID: O20080429000046 |
Mailing Address | Practice Location Address |
---|---|
Mr Derek Shelton, LCSWA 469 Forest Lake Cir, Kernersville, NC 27284-9371 Ph: (336) 813-3404 | Mr Derek Shelton, LCSWA 615 Shipyard Blvd, Wilmington, NC 28412-6431 Ph: (910) 343-0145 |
Mr. Joseph Peters, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 407 Kelly Rd, Wilmington, NC 28409 Phone: 910-409-2754 | |
Elisabeth Troy, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1606 Physicians Dr Ste 104, Wilmington, NC 28401 Phone: 910-343-6890 Fax: 910-332-1233 | |
Miss Mary Florence Wood, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 615 Shipyard Blvd, Wilmington, NC 28412 Phone: 910-617-9647 Fax: 910-202-5772 | |
Makayla Jessica Bowling Mills, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1606 Physicians Dr Ste 104, Wilmington, NC 28401 Phone: 910-343-6890 | |
Mrs. Aimee L. Schulze, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 311-4e Judges Rd, Wilmington, NC 28405 Phone: 910-791-6767 Fax: 910-791-6890 | |
Mary E Dowcett, P-LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1606 Physicians Dr Ste 104, Wilmington, NC 28401 Phone: 910-343-6890 | |
Terrance Williams, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 615 Shipyard Blvd, Wilmington, NC 28412 Phone: 910-343-0145 Fax: 910-202-9966 |