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GEORGIANNE SHACKELFORD
NPI 1124692785
Counselor - Addiction (Substance Use Disorder) in Sacramento, CA

Active since May 18, 2021
1614 54TH STREET, SACRAMENTO, CA 95819(916) 990-2582 Get Directions Write a Review

NPPES record last updated: May 18, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Georgianne Shackelford NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GEORGIANNE SHACKELFORD (NPI 1124692785) is an individual addiction (substance use disorder) provider in Sacramento, California and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1124692785
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameGEORGIANNE SHACKELFORD
Location Address1614 54TH STREETSacramento, CA 95819
Mailing Address1614 54th StreetSacramento, CA 95819
Phone(916) 990-2582
Sole ProprietorYes
Enumeration DateMay 18, 2021
NPPES CertifiedMay 18, 2021
✔ NPI 1124692785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
1614 54TH STREET, Sacramento, CA 95819
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Other Identifiers 1

Medicaid1234CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Georgianne Shackelford's NPI number?

The NPI number for Georgianne Shackelford is 1124692785. It was assigned to this individual provider in the NPPES registry on May 18, 2021.

Where is Georgianne Shackelford located?

Georgianne Shackelford practices at 1614 54th Street, Sacramento, CA 95819. The listed phone number is (916) 990-2582.

What is Georgianne Shackelford's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Georgianne Shackelford was last updated on May 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.