MEDICARE: SHELBY BROOKE COMBS LCSW

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	25987	KY

General Provider Information

NPI Number	:	1982185203
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHELBY BROOKE COMBS LCSW

Provider Business Mailing Address
First Line	:	17485 CASHEW LN
Second Line	:
City	:	DIXON
State	:	MO
Zip	:	65459-8236
Country	:	US
Telephone Number	:	915-801-5499
Fax Number	:

Provider Business Practice Location Address
First Line	:	1119 E WEST HWY
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-4852
Country	:	US
Telephone Number	:	888-879-9788
Fax Number	:

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

Provider Enumeration Date	:	08/24/2018
Last Update Date	:	04/22/2026

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