Mr Mark Jim Shelton, LCSW - Clinical Social Worker in Tooele, UT

Mr Mark Jim Shelton, LCSW is a Social Worker - Clinical based in Tooele, Utah. Mr Mark Jim Shelton is licensed to practice in Utah (license number 128877-3501) and his current practice location is 100 S 1000 W, Tooele, Utah. He can be reached at his office (for appointments etc.) via phone at (435) 843-3520.

NPI number for Mr Mark Jim Shelton is 1770554289 and his current mailing address is 355 Champlaine St., Tooele, Utah. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1770554289.

Contact Information

Mr Mark Jim Shelton, LCSW
100 S 1000 W,
Tooele, UT 84074-4010
(435) 843-3520
(435) 843-3555



Healthcare Provider's Profile

Full NameMr Mark Jim Shelton
GenderMale
SpecialitySocial Worker - Clinical
Location100 S 1000 W, Tooele, Utah
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1770554289
  • Provider Enumeration Date: 02/01/2006
  • Last Update Date: 07/09/2007

Medical Identifiers

Medical identifiers for Mr Mark Jim Shelton such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770554289NPI-NPPES
942938348006OtherUTCHAMPUS
R95603OtherUTICAR
107000925101OtherUTINTERMOUNTAIN HEALTH CARE
942938348SH1OtherUTEDUCATOR'S MUTUAL
292738OtherUTDESERET MUTUAL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 128877-3501 (Utah)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. Mr Mark Jim Shelton 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 AddressPractice Location Address
Mr Mark Jim Shelton, LCSW
355 Champlaine St.,
Tooele, UT 84074

Ph: (435) 882-8552
Mr Mark Jim Shelton, LCSW
100 S 1000 W,
Tooele, UT 84074-4010

Ph: (435) 843-3520

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› Verified 3 days ago


Social Worker in Tooele, UT

Keri B Stone,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 71 N 50 W, Tooele, UT 84074
Phone: 801-990-4300    Fax: 801-967-2127
Reina Marie Hansen,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1244 N Main St Ste 203, Tooele, UT 84074
Phone: 435-882-4354    
Mr. Chris Corey Hakes, LCSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 50 N Main St, Tooele, UT 84074
Phone: 801-414-3252    Fax: 801-967-2127
Pamela Joan Bennett, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 100 S 1000 W, Tooele, UT 84074
Phone: 435-843-3520    
Brijet Beazer,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 100 S 1000 W, Tooele, UT 84074
Phone: 801-595-4207    
Hayley Baldwin Baldwin, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 2356 N 400 E, Tooele, UT 84074
Phone: 435-850-2547    
Ms. Sarah Louise Debois, LCSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 100 S 1000 W, Tooele, UT 84074
Phone: 435-843-3520    Fax: 435-843-3555

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