MEDICARE: MR. SHELDON C. SCHELLING MA,MSW, CSW-PIP

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	1642	SD
2	1041C0700X	Clinical Social Worker	2013043617	MO
3	1041C0700X	Clinical Social Worker	4287	KS

General Provider Information

NPI Number	:	1578514055
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. SHELDON C. SCHELLING MA,MSW, CSW-PIP

Provider Business Mailing Address
First Line	:	33 N 98TH ST
Second Line	:
City	:	EDWARDSVILLE
State	:	KS
Zip	:	66111-1403
Country	:	US
Telephone Number	:	913-954-9114
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 W VETERANS BLVD
Second Line	:
City	:	BIG SPRING
State	:	TX
Zip	:	79720-5566
Country	:	US
Telephone Number	:	432-263-7361
Fax Number	:	432-268-5086

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

Provider Enumeration Date	:	05/12/2006
Last Update Date	:	07/19/2023

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