Maggie Shackelford, is a medicare enrolled "Social Worker" provider in Culver City, California. She graduated from healthcare school in 2018 and has 8 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Didi Hirsch Psychiatric Service and her current practice location is
4760 Sepulveda Blvd, Culver City, California. You can reach out to her office (for appointments etc.) via phone at
(310) 390-6612.
Maggie Shackelford is licensed to practice in California (license number 84957) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1609248715.
Healthcare Provider's Profile
| Full Name | Maggie Shackelford |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 8 Years |
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| Location | 4760 Sepulveda Blvd, Culver City, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Maggie Shackelford graduated from medical school in 2018
NPI Data:
- NPI Number: 1609248715
- Provider Enumeration Date: 10/28/2015
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 0941672661
- Enrollment ID: I20230207000081
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 |
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| 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 |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Didi Hirsch Psychiatric Service | 3870537194 | 18 |
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
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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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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