MAGGIE SHACKELFORD
NPI 1609248715
Social Worker in Culver City, CA

Q: What is Maggie Shackelford's NPI number?

The NPI number for Maggie Shackelford is 1609248715. It was assigned to this individual provider in the NPPES registry on October 28, 2015.

Q: What is Maggie Shackelford's specialty?

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

Active since October 28, 2015PECOS EnrolledAccepts Medicare Assignment

4760 SEPULVEDA BLVD, CULVER CITY, CA 90230(310) 390-6612(310) 398-5690 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, May 18, 2022, Feb 15, 2022 and 3 more (6 updates tracked since 2018).

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About Maggie Shackelford NPPES

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

MAGGIE SHACKELFORD (NPI 1609248715) is an individual social worker in Culver City, California, licensed in California (84957) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1609248715

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameMAGGIE SHACKELFORD

Location Address4760 SEPULVEDA BLVDCulver City, CA 90230-4820

Mailing Address1540 E Colorado StGlendale, CA 91205-1514

Phone(310) 390-6612

Fax(310) 398-5690

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateOctober 28, 2015

Last NPPES UpdateJuly 21, 20226 updates tracked since enumeration

NPPES CertifiedJuly 21, 2022

✔ NPI 1609248715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in CA · 84957

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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 84957 (CA)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

4760 SEPULVEDA BLVD, Culver City, CA 90230

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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 and accepts Medicare assignment

Maggie Shackelford is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID941672661

PECOS Enrollment IDI20230207000081

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.

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.

VERONICA FUENTES

Case Manager/Care Coordinator