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NPI Code Detail

MEDICARE: KARIN SANDSTROM SHELTON LICSW

MEDICARE:   KARIN SANDSTROM SHELTON  LICSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker111535MA
21041C0700XClinical Social Worker65686CA

General Provider Information

NPI Number : 1225049208
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARIN SANDSTROM SHELTON LICSW
Provider Business Mailing Address
First Line : 1820 J ST
Second Line :
City : SACRAMENTO
State : CA
Zip : 95811-3010
Country : US
Telephone Number : 916-737-5555
Fax Number : 916-444-5620
Provider Business Practice Location Address
First Line : 1820 J ST
Second Line :
City : SACRAMENTO
State : CA
Zip : 95811-3010
Country : US
Telephone Number : 508-860-7700
Fax Number : 508-860-7990
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2006
Last Update Date : 07/21/2022

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Directions to “ KARIN SANDSTROM SHELTON LICSW” Practice Location

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