Samuel Edward Shelton

Clinical Social Worker · Bothell, WA

Individual Active NPI

NPI number 1477064236

Practice location

817 238TH St SE Ste H
Bothell, WA 98021-4309
Phone
(425) 820-4717

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NPI record

NPI
1477064236
Entity type
Individual (Type 1)
Enumeration date
October 19, 2017
Last updated
December 3, 2021
Certified
December 3, 2021
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Social Worker Primary 1041C0700X LW61096158 WA

About Samuel Shelton

Samuel Edward Shelton is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 817 238TH St SE Ste H, Bothell, WA 98021-4309. The NPI number 1477064236 was assigned on October 19, 2017 and the record was last updated on December 3, 2021.

Samuel Shelton lists a license in the registry: #LW61096158 (WA) for Clinical Social Worker. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Samuel Edward Shelton?

The NPI number is 1477064236.

What is the phone number of Samuel Shelton?

The phone number listed for the practice location is (425) 820-4717.

Where is Samuel Shelton located?

817 238TH St SE Ste H, Bothell, WA 98021-4309.

What is the taxonomy code for Samuel Shelton?

The primary taxonomy code is 1041C0700X – Clinical Social Worker.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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