MEDICARE: SHELBY THOMAS

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
1	1041C0700X	Clinical Social Worker	CSW.09927970	CO

General Provider Information

NPI Number	:	1538001979
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHELBY THOMAS

Provider Business Mailing Address
First Line	:	PO BOX 3773
Second Line	:
City	:	ENGLEWOOD
State	:	CO
Zip	:	80155-3773
Country	:	US
Telephone Number	:	303-241-7122
Fax Number	:

Provider Business Practice Location Address
First Line	:	2480 S EAGLE WAY
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80014-2430
Country	:	US
Telephone Number	:	303-241-7122
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/06/2026
Last Update Date	:	04/06/2026

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Directions to “ SHELBY THOMAS ” Practice Location

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