Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. NICOLE SHACKELFORD, LMSW
ActiveClinical Social Worker · ABERDEEN, ID
Registration Details
- NPI Number
- 1497346944
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 28, 2021 (5.2902034716813 yrs)
- Last Updated
- Jan 28, 2021
- License
-
LMSW-40005 (ID)
Practice Information
- Address
-
318 W WASHINGTON AVEABERDEEN, ID, 832105502Browse ID providers · Browse ZIP 83210
- Phone
- 2083974113
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.