1. Home
  2. Directory
  3. Florida
  4. Bartow
  5. Social Worker
  6. NPI Profile

SIMON SHACKELFORD
NPI 1396290672
Social Worker in Bartow, FL

Active since August 17, 2016
1255 BRICE BLVD, BARTOW, FL 33830(863) 519-8233 Get Directions Write a Review

NPPES record last updated: August 17, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Simon Shackelford NPPES

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

SIMON SHACKELFORD (NPI 1396290672) is an individual social worker in Bartow, Florida and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1396290672
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameSIMON SHACKELFORD
Location Address1255 BRICE BLVDBartow, FL 33830-6735
Mailing Address1255 Brice BlvdBartow, FL 33830-6735
Phone(863) 519-8233
Sole ProprietorYes
Enumeration DateAugust 17, 2016
✔ NPI 1396290672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
1255 BRICE BLVD, Bartow, FL 33830
Open in Google Maps ↗

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.

HELEN BERINGER GATES MAG,RD,LD/N
Dietitian, Registered
1255 BRICE BLVD
BARTOW, FL 33830
Polk County (863) 519-8233
JEAN MONEREAU CASEMANAGER
Social Worker
1255 BRICE BLVD
BARTOW, FL 33830
Polk County (863) 519-8233
BILLY SANA KONG MD
Family Medicine
1255 BRICE BLVD
BARTOW, FL 33830
Polk County (863) 519-8233
LAUREEN M HUSBAND
Social Worker
1255 BRICE BLVD
BARTOW, FL 33830
Polk County (863) 519-8233
GERALD L SMITH CASE MANAGER
Social Worker
1255 BRICE BLVD
BARTOW, FL 33830
Polk County (863) 519-8233
IVETTE Y LOPEZ CASEMANAGER
Social Worker
1255 BRICE BLVD
BARTOW, FL 33830
Polk County (863) 519-8233
LOIS HALL ARNP
Nurse Practitioner (Family)
1255 BRICE BLVD
BARTOW, FL 33830
Polk County (863) 519-7900
SHAWN WILLIAMS CASEMANAGER
Social Worker
1255 BRICE BLVD
BARTOW, FL 33830
Polk County (863) 519-8233

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 Simon Shackelford's NPI number?

The NPI number for Simon Shackelford is 1396290672. It was assigned to this individual provider in the NPPES registry on August 17, 2016.

Where is Simon Shackelford located?

Simon Shackelford practices at 1255 Brice Blvd, Bartow, FL 33830. The listed phone number is (863) 519-8233.

What is Simon Shackelford's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Simon Shackelford was last updated on August 17, 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.