Healthcare Provider Details

I. General information

NPI: 1366075467
Provider Name (Legal Business Name): JOCELYN SHELTON LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/17/2020
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 N US HIGHWAY 441 STE 553
THE VILLAGES FL
32159-8987
US

IV. Provider business mailing address

1400 N US HIGHWAY 441 STE 553
THE VILLAGES FL
32159-8987
US

V. Phone/Fax

Practice location:
  • Phone: 833-769-3524
  • Fax: 352-350-5297
Mailing address:
  • Phone: 833-769-3524
  • Fax: 352-350-5297

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number12811C
License Number StateAR
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW25662
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: