Robert Shackelford, ACSW is a
Social Worker - Clinical based in Riverside, California. Robert Shackelford is licensed to practice in California (license number ASW92798) and his current practice location is
3420 Franklin Ave, Riverside, California. He can be reached at his office (for appointments etc.) via phone at
(949) 273-0555.
NPI number for Robert Shackelford is 1568867786 and his current mailing address is 25696 Shannon Cir, Hemet, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1568867786.
Healthcare Provider's Profile
| Full Name | Robert Shackelford |
|---|
| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 3420 Franklin Ave, Riverside, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1568867786
- Provider Enumeration Date: 10/30/2014
- Last Update Date: 09/28/2024
Medical Identifiers
Medical identifiers for Robert Shackelford such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568867786 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | ASW92798 (California) | 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. Robert 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 |
|---|
Robert Shackelford, ACSW
25696 Shannon Cir,
Hemet, CA 92544-5376
Ph: (951) 256-6174 | Robert Shackelford, ACSW
3420 Franklin Ave,
Riverside, CA 92507-3351
Ph: (949) 273-0555 |
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