Mrs Nicole Shackelford, LMSW in Aberdeen, ID - Social Worker

Mrs Nicole Shackelford, LMSW is a Social Worker - Clinical based in Aberdeen, Idaho. Mrs Nicole Shackelford is licensed to practice in Idaho (license number LMSW-40005) and her current practice location is 318 W Washington Ave, Aberdeen, Idaho. She can be reached at her office (for appointments etc.) via phone at (208) 397-4113.

NPI number for Mrs Nicole Shackelford is 1497346944 and her current mailing address is 2947 W 1700 S, Aberdeen, Idaho. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1497346944.

Contact Information

	Mrs Nicole Shackelford, LMSW
	318 W Washington Ave, Aberdeen, ID 83210-5502
	(208) 397-4113
	Not Available

Healthcare Provider's Profile

Full Name	Mrs Nicole Shackelford
Gender	Female
Speciality	Social Worker - Clinical
Location	318 W Washington Ave, Aberdeen, Idaho
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1497346944
Provider Enumeration Date: 01/28/2021
Last Update Date: 01/28/2021

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
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 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
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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Mrs Nicole Shackelford, LMSW - Clinical Social Worker in Aberdeen, ID