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SAMUEL EDWARD SHELTON
NPI 1477064236
Social Worker - Clinical in Bothell, WA

Active since October 19, 2017PECOS Enrolled
817 238TH ST SE STE H, BOTHELL, WA 98021(425) 820-4717 Get Directions Write a Review

NPPES record last updated: December 3, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 3, 2021, Oct 19, 2017 (2 updates tracked since 2017).

About Samuel Edward Shelton NPPES

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

SAMUEL EDWARD SHELTON (NPI 1477064236) is an individual clinical provider in Bothell, Washington, licensed in Washington (LW61096158) and active in the NPI registry since October 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477064236
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameSAMUEL EDWARD SHELTON
Location Address817 238TH ST SE STE HBothell, WA 98021-4309
Mailing Address817 238th St Se Ste HBothell, WA 98021-4309 · (425) 820-4717
Phone(425) 820-4717
Sole ProprietorYes
Enumeration DateOctober 19, 2017
Last NPPES UpdateDecember 3, 20212 updates tracked since enumeration
NPPES CertifiedDecember 3, 2021
✔ NPI 1477064236 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 WA · LW61096158
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.
817 238TH ST SE STE H, Bothell, WA 98021
Open in Google Maps ↗

Other Identifiers 1

OtherSC60701093WA · Lswaic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samuel Edward Shelton 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 98021 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 $57.27 – $172.80
Typical copayment $0.00 (range $14.31 – $43.20)
Most-billed visit code NA
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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

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

NAPHTALI CARLSON LMHC
Counselor (Mental Health)
817 238TH ST SE STE H
BOTHELL, WA 98021
Snohomish County (425) 820-4717

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 Samuel Shelton's NPI number?

The NPI number for Samuel Shelton is 1477064236. It was assigned to this individual provider in the NPPES registry on October 19, 2017.

Where is Samuel Shelton located?

Samuel Shelton practices at 817 238th St SE Ste H, Bothell, WA 98021. The listed phone number is (425) 820-4717.

What is Samuel Shelton's specialty?

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

Is Samuel Shelton enrolled in Medicare?

Yes. Samuel Shelton is registered in the Medicare PECOS enrollment system.

What insurance does Samuel Shelton accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Samuel Shelton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samuel Shelton was last updated on December 3, 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.