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NPI Code Detail

MEDICARE: ROBYN SHELBY JD, MSW, ASW

MEDICARE: ROBYN SHELBY JD, MSW, ASW
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 Worker105107CA

General Provider Information

NPI Number : 1750715702
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBYN SHELBY JD, MSW, ASW
Provider Business Mailing Address
First Line : 3301 CIMMARRON RD UNIT 32C
Second Line :
City : CAMERON PARK
State : CA
Zip : 95682-7735
Country : US
Telephone Number : 530-902-1909
Fax Number :
Provider Business Practice Location Address
First Line : 2435 MARCONI AVE
Second Line :
City : SACRAMENTO
State : CA
Zip : 95821-4807
Country : US
Telephone Number : 530-902-1909
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/27/2013
Last Update Date : 01/10/2025

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