| Robin Shelton, Lcsw, Pllc | |
|
213 Habitat Xing Chesapeake VA 23320-4014 | |
| (757) 335-1541 | |
| Not Available |
| Full Name | Robin Shelton, Lcsw, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 213 Habitat Xing, Chesapeake, Virginia |
| Authorized Official Name and Position | Robin Shelton (LCSW) |
| Authorized Official Contact | 7573351541 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robin Shelton, Lcsw, Pllc Po Box 1094 Chesapeake VA 23327-1094 Ph: (757) 335-1541 | Robin Shelton, Lcsw, Pllc 213 Habitat Xing Chesapeake VA 23320-4014 Ph: (757) 335-1541 |
| NPI Number | 1790462463 |
|---|---|
| Provider Enumeration Date | 07/03/2023 |
| Last Update Date | 07/03/2023 |
| Certification Date | 06/21/2023 |
| Medicare PECOS PAC ID | 4587018890 |
|---|---|
| Medicare Enrollment ID | O20230920002274 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790462463 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Robin M Shelton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801867247 PECOS PAC ID: 9931202256 Enrollment ID: I20070307000110 |
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