SHELBY MITCHEM LCSW-C
NPI 1659720613
Social Worker - Clinical in Baltimore, MD

Active since June 09, 2016PECOS EnrolledAccepts Medicare Assignment
500 N ROLLING RD, BALTIMORE, MD 21228(410) 788-0300 Get Directions Write a Review

NPPES record last updated: October 22, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 22, 2019, Oct 23, 2018 (2 updates tracked since 2018).

About Shelby Mitchem Lcsw-c NPPES

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

SHELBY MITCHEM LCSW-C (NPI 1659720613) is an individual clinical provider in Baltimore, Maryland, licensed in Maryland (21766) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Ellicott City, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1659720613
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHELBY MITCHEMCredential: LCSW-C
Location Address500 N ROLLING RDBaltimore, MD 21228-4134
Mailing Address500 N Rolling RdBaltimore, MD 21228-4134 · (410) 788-0300
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateJune 9, 2016
Last NPPES UpdateOctober 22, 20192 updates tracked since enumeration
NPI 1659720613 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 MD · 21766
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.

500 N ROLLING RD, Baltimore, MD 21228

Secondary Practice Location 1

Location 15061 Stone Hill DrEllicott City, MD 21043-6739 · Phone (410) 292-9396

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

Shelby Mitchem Lcsw-c 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 ID2961746185
PECOS Enrollment IDI20181129000228
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 21228 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 $60.73 – $183.44
Typical copayment $0.00 (range $15.18 – $45.86)
Most-billed visit code NA
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
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 20

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

Counselor (Pastoral)
500 N ROLLING RD
CATONSVILLE, MD 21228
Counselor (Mental Health)
500 N ROLLING RD
CATONSVILLE, MD 21228
Counselor (Mental Health)
500 N ROLLING RD
CATONSVILLE, MD 21228
Counselor
500 N ROLLING RD
BALTIMORE, MD 21228
Student in an Organized Health Care Education/Training Program
500 N ROLLING RD
BALTIMORE, MD 21228
Social Worker (Clinical)
500 N ROLLING RD
BALTIMORE, MD 21228
Counselor (Professional)
500 N ROLLING RD
BALTIMORE, MD 21228
Counselor (Mental Health)
500 N ROLLING RD
BALTIMORE, MD 21228

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 Shelby Mitchem's NPI number?

The NPI number for Shelby Mitchem is 1659720613. It was assigned to this individual provider in the NPPES registry on June 9, 2016.

Where is Shelby Mitchem located?

Shelby Mitchem practices at 500 N Rolling Rd, Baltimore, MD 21228. The listed phone number is (410) 788-0300.

What is Shelby Mitchem's specialty?

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

Is Shelby Mitchem enrolled in Medicare?

Yes. Shelby Mitchem is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Shelby Mitchem was last updated on October 22, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.