Mrs Nicole Shackelford, LMSW is a medicare enrolled "Social Worker - Clinical" provider in Aberdeen, Idaho. She graduated from medical school in 2020 and has 6 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is
318 W Washington Ave, Aberdeen, Idaho. You can reach out to her office (for appointments etc.) via phone at
(208) 397-4113.
Mrs Nicole Shackelford is licensed to practice in Idaho (license number LMSW-40005) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and 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 | Clinical Social Worker |
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| Experience | 6 Years |
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| Location | 318 W Washington Ave, Aberdeen, Idaho |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Nicole Shackelford graduated from medical school in 2020
NPI Data:
- NPI Number: 1497346944
- Provider Enumeration Date: 01/28/2021
- Last Update Date: 01/28/2021
Medicare PECOS Information:
- PECOS PAC ID: 7416455035
- Enrollment ID: I20250812002854
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 |
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| 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
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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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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