MARIE THERESA SHACKELFORD LCSW
NPI 1174068217
Social Worker - Clinical in Boise, ID

Active since December 28, 2016
600 N ROBBINS RD, BOISE, ID 83702(208) 385-3245(208) 489-4053 Get Directions Write a Review

NPPES record last updated: December 28, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Marie Theresa Shackelford Lcsw NPPES

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

MARIE THERESA SHACKELFORD LCSW (NPI 1174068217) is an individual clinical provider in Boise, Idaho, licensed in Idaho (LCSW36042) and active in the NPI registry since December 2016.

NPPES Registry Identity

NPI1174068217
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARIE THERESA SHACKELFORDCredential: LCSW
Location Address600 N ROBBINS RDBoise, ID 83702-4565
Mailing Address600 N Robbins Rd, St Luke's Rehab HospitalBoise, ID 83702 · (208) 385-3245 · Fax (208) 489-4053
Fax(208) 489-4053
Sole ProprietorNo
Enumeration DateDecember 28, 2016
NPI 1174068217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in ID · LCSW36042
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
600 N ROBBINS RD, Boise, ID 83702

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist (Neurology)
600 N ROBBINS RD
BOISE, ID 83702
Occupational Therapist
600 N ROBBINS RD
BOISE, ID 83702
Orthopaedic Surgery (Hand Surgery)
600 N ROBBINS RD, SUITE 100
BOISE, ID 83702
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
600 N ROBBINS RD, STE 100
BOISE, ID 83702
Physical Therapist
600 N ROBBINS RD
BOISE, ID 83702
Physician Assistant
600 N ROBBINS RD, STE 100
BOISE, ID 83702
Physical Therapist
600 N ROBBINS RD
BOISE, ID 83702
Physical Therapist
600 N ROBBINS RD
BOISE, ID 83702

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 Marie Shackelford's NPI number?

The NPI number for Marie Shackelford is 1174068217. It was assigned to this individual provider in the NPPES registry on December 28, 2016.

Where is Marie Shackelford located?

Marie Shackelford practices at 600 N Robbins Rd, Boise, ID 83702. The listed phone number is (208) 385-3245.

What is Marie Shackelford's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Marie Shackelford was last updated on December 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.