Mrs Nicole Shackelford, LMSW is a
Social Worker - Clinical based in Aberdeen, Idaho. Mrs Nicole Shackelford is licensed to practice in Idaho (license number LMSW-40005) and her current practice location is
318 W Washington Ave, Aberdeen, Idaho. She can be reached at her office (for appointments etc.) via phone at
(208) 397-4113.
NPI number for Mrs Nicole Shackelford is 1497346944 and her current mailing address is 2947 W 1700 S, Aberdeen, Idaho. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1497346944.
Healthcare Provider's Profile
Full Name | Mrs Nicole Shackelford |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 318 W Washington Ave, Aberdeen, Idaho |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1497346944
- Provider Enumeration Date: 01/28/2021
- Last Update Date: 01/28/2021
Medical Identifiers
Medical identifiers for Mrs Nicole Shackelford such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1497346944 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | LMSW-40005 (Idaho) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Nicole Shackelford is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Nicole Shackelford, LMSW 2947 W 1700 S, Aberdeen, ID 83210-1628 Ph: () - | Mrs Nicole Shackelford, LMSW 318 W Washington Ave, Aberdeen, ID 83210-5502 Ph: (208) 397-4113 |
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