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MATTHEW SHACKELFORD LCSW
NPI 1275731556
Social Worker - Clinical in Harbor City, CA

Active since July 06, 2007PECOS Enrolled
25825 VERMONT AVE, HARBOR CITY, CA 90710(310) 325-5111(626) 405-6768 Get Directions Write a Review

NPPES record last updated: November 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Matthew Shackelford Lcsw NPPES

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

MATTHEW SHACKELFORD LCSW (NPI 1275731556) is an individual clinical provider in Harbor City, California, licensed in California (LCS18861) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275731556
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMATTHEW SHACKELFORDCredential: LCSW
Location Address25825 VERMONT AVEHarbor City, CA 90710-3518
Mailing Address393 E Walnut St, 3rd Floor - Phr SystemsPasadena, CA 91188-0001 · (626) 405-7914 · Fax (626) 405-6768
Phone(310) 325-5111
Fax(626) 405-6768
Sole ProprietorNo
Enumeration DateJuly 6, 2007
Last NPPES UpdateNovember 30, 2021
✔ NPI 1275731556 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 CA · LCS18861
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.
25825 VERMONT AVE, Harbor City, CA 90710
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Matthew Shackelford Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90710 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $62.96 – $187.60
Typical copayment $0.00 (range $15.74 – $46.90)
Most-billed visit code NA
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

SEAN KOH PHARM.D.
Pharmacist
25825 VERMONT AVE
HARBOR CITY, CA 90710
Los Angeles County (310) 325-5111
ALYSSA QUAN PHARM.D.
Pharmacist
25825 VERMONT AVE
HARBOR CITY, CA 90710
Los Angeles County (310) 517-2238
JOYHAN JAY SUNG RRT-NPS
Respiratory Therapist, Registered (Neonatal/Pediatrics)
25825 VERMONT AVE
HARBOR CITY, CA 90710
Los Angeles County (310) 517-2648
RANDEL R. KING MD
Internal Medicine (Pulmonary Disease)
25825 VERMONT AVE
HARBOR CITY, CA 90710
Los Angeles County (310) 325-5111
TIM TAKESHI SUGIYAMA
Pharmacist
25825 VERMONT AVE
HARBOR CITY, CA 90710
Los Angeles County (310) 517-2239
RYOKEI K. IMAI MD
Internal Medicine
25825 VERMONT AVE
HARBOR CITY, CA 90710
Los Angeles County (310) 325-5111
JENNIFER WING-YUN LAM MD
Internal Medicine
25825 VERMONT AVE
HARBOR CITY, CA 90710
Los Angeles County (310) 325-5111
CHRISTOPHER LOLACHI MD
Otolaryngology (Plastic Surgery within the Head & Neck)
25825 VERMONT AVE
HARBOR CITY, CA 90710
Los Angeles County (310) 325-5111

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 Matthew Shackelford's NPI number?

The NPI number for Matthew Shackelford is 1275731556. It was assigned to this individual provider in the NPPES registry on July 6, 2007.

Where is Matthew Shackelford located?

Matthew Shackelford practices at 25825 Vermont Ave, Harbor City, CA 90710. The listed phone number is (310) 325-5111.

What is Matthew Shackelford's specialty?

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

Is Matthew Shackelford enrolled in Medicare?

Yes. Matthew Shackelford is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Matthew Shackelford was last updated on November 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.