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MR. CAMERON LEE SHACKELFORD II LSW
NPI 1477411833
Counselor - Mental Health in Fort Wayne, IN

Active since January 14, 2026
2013 S ANTHONY BLVD, FORT WAYNE, IN 46803(260) 255-3514 Get Directions Write a Review

NPPES record last updated: January 14, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Cameron Lee Shackelford Ii Lsw NPPES

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

MR. CAMERON LEE SHACKELFORD II LSW (NPI 1477411833) is an individual mental health provider in Fort Wayne, Indiana, licensed in Indiana (33013488A) and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1477411833
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. CAMERON LEE SHACKELFORD IICredential: LSW
Location Address2013 S ANTHONY BLVDFort Wayne, IN 46803-3609
Mailing Address2410 Vance AveFort Wayne, IN 46805-2318 · (260) 203-6380
Phone(260) 255-3514
Sole ProprietorYes
Enumeration DateJanuary 14, 2026
NPPES CertifiedJanuary 14, 2026
✔ NPI 1477411833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IN · 33013488A
2013 S ANTHONY BLVD, Fort Wayne, IN 46803
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Other Providers at the Same Location NPPES 12

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

COURAGEOUS HEALING INC
Counselor (Mental Health)
2013 S ANTHONY BLVD
FORT WAYNE, IN 46803
Allen County (260) 417-4801
FREDERICA ROGERS LMSW
Social Worker
2013 S ANTHONY BLVD
FORT WAYNE, IN 46803
Allen County (260) 225-9991
KYLA THOMPSON
Counselor (Mental Health)
2013 S ANTHONY BLVD
FORT WAYNE, IN 46803
Allen County (260) 255-3514
MELISSA NICOLE HALL LSW
Social Worker
2013 S ANTHONY BLVD
FORT WAYNE, IN 46803
Allen County (260) 267-0715
JOSELINE KARELY MATIAS MSW
Counselor (Mental Health)
2013 S ANTHONY BLVD
FORT WAYNE, IN 46803
Allen County (260) 209-4529
DAYLA RYAN ROBINSON
Social Worker (Clinical)
2013 S ANTHONY BLVD
FORT WAYNE, IN 46803
Allen County (260) 255-3514
AARON J LANE
Social Worker
2013 S ANTHONY BLVD
FORT WAYNE, IN 46803
Allen County (260) 267-0408
TAMIA PARKER
Counselor (Mental Health)
2013 S ANTHONY BLVD
FORT WAYNE, IN 46803
Allen County (260) 255-3514

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 Cameron Shackelford's NPI number?

The NPI number for Cameron Shackelford is 1477411833. It was assigned to this individual provider in the NPPES registry on January 14, 2026.

Where is Cameron Shackelford located?

Cameron Shackelford practices at 2013 S Anthony Blvd, Fort Wayne, IN 46803. The listed phone number is (260) 255-3514.

What is Cameron Shackelford's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Cameron Shackelford was last updated on January 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.