Maggie Shackelford, is a
Social Worker based in Culver City, California. Maggie Shackelford is licensed to practice in California (license number 84957) and her current practice location is
4760 Sepulveda Blvd, Culver City, California. She can be reached at her office (for appointments etc.) via phone at
(310) 390-6612.
NPI number for Maggie Shackelford is 1609248715 and her current mailing address is 1540 E Colorado St, Glendale, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1609248715.
Healthcare Provider's Profile
| Full Name | Maggie Shackelford |
|---|
| Gender | Female |
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| Speciality | Social Worker |
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| Location | 4760 Sepulveda Blvd, Culver City, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1609248715
- Provider Enumeration Date: 10/28/2015
- Last Update Date: 07/21/2022
Medical Identifiers
Medical identifiers for Maggie Shackelford such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609248715 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 84957 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | 84957 (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. Maggie 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 |
|---|
Maggie Shackelford,
1540 E Colorado St,
Glendale, CA 91205-1514
Ph: () - | Maggie Shackelford,
4760 Sepulveda Blvd,
Culver City, CA 90230-4820
Ph: (310) 390-6612 |
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