Robert Shackelford, ASW is a
Social Worker - Clinical based in Lake Isabella, California. Robert Shackelford is licensed to practice in California (license number ASW92798) and his current practice location is
2731 Nugget Ave, Lake Isabella, California. He can be reached at his office (for appointments etc.) via phone at
(760) 379-3412.
NPI number for Robert Shackelford is 1568867786 and his current mailing address is 2425 Alta Sierra Ave # A, Lake Isabella, 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 |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 2731 Nugget Ave, Lake Isabella, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1568867786
- Provider Enumeration Date: 10/30/2014
- Last Update Date: 12/10/2019
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, ASW 2425 Alta Sierra Ave # A, Lake Isabella, CA 93240-9629 Ph: (951) 256-6174 | Robert Shackelford, ASW 2731 Nugget Ave, Lake Isabella, CA 93240-9456 Ph: (760) 379-3412 |
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