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ROBERT SHACKELFORD ACSW
NPI 1568867786
Social Worker - Clinical in Riverside, CA

Active since October 30, 2014
3420 FRANKLIN AVE, RIVERSIDE, CA 92507(949) 273-0555 Get Directions Write a Review

NPPES record last updated: September 28, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 28, 2024, Dec 10, 2019 (2 updates tracked since 2019).

About Robert Shackelford Acsw NPPES

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

ROBERT SHACKELFORD ACSW (NPI 1568867786) is an individual clinical provider in Riverside, California, licensed in California (ASW92798) and active in the NPI registry since October 2014. He maintains a secondary practice location in San Jacinto.

NPPES Registry Identity

NPI1568867786
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameROBERT SHACKELFORDCredential: ACSW
Location Address3420 FRANKLIN AVERiverside, CA 92507-3351
Mailing Address25696 Shannon CirHemet, CA 92544-5376 · (951) 256-6174
Phone(949) 273-0555
Sole ProprietorNo
Enumeration DateOctober 30, 2014
Last NPPES UpdateSeptember 28, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2024
✔ NPI 1568867786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · ASW92798
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
3420 FRANKLIN AVE, Riverside, CA 92507
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Secondary Practice Location 1

Location 1410 Virginia DrSan Jacinto, CA 92583-3335 · Phone (951) 256-6174

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 Robert Shackelford's NPI number?

The NPI number for Robert Shackelford is 1568867786. It was assigned to this individual provider in the NPPES registry on October 30, 2014.

Where is Robert Shackelford located?

Robert Shackelford practices at 3420 Franklin Ave, Riverside, CA 92507. The listed phone number is (949) 273-0555.

What is Robert 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 Robert Shackelford was last updated on September 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.