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NPI Code Detail

MEDICARE: SHELBY ROBINSON

MEDICARE: SHELBY ROBINSON
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 Worker097.013597VT

General Provider Information

NPI Number : 1477423457
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHELBY ROBINSON
Provider Business Mailing Address
First Line : 30 AIRPORT RD
Second Line :
City : SOUTH BURLINGTON
State : VT
Zip : 05403-6432
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 30 AIRPORT RD
Second Line :
City : SOUTH BURLINGTON
State : VT
Zip : 05403-6432
Country : US
Telephone Number : 802-233-7597
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2025
Last Update Date : 11/07/2025

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Directions to “ SHELBY ROBINSON ” Practice Location

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