KELLY SHIFFLETT LCSW
NPI 1679415376
Social Worker - Clinical in Gloucester, VA

Q: What is Kelly Shifflett's NPI number?

The NPI number for Kelly Shifflett is 1679415376. It was assigned to this individual provider in the NPPES registry on April 9, 2026.

Q: What is Kelly Shifflett's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelly Shifflett was last updated on April 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 09, 2026PECOS Enrolled

9228 GEORGE WASHINGTON MEMORIAL HWY, GLOUCESTER, VA 23061(804) 695-8120(804) 695-8122 Get Directions Write a Review

NPPES record last updated: April 9, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Kelly Shifflett Lcsw NPPES

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

KELLY SHIFFLETT LCSW (NPI 1679415376) is an individual clinical provider in Gloucester, Virginia, licensed in Virginia (0904020267) and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1679415376

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameKELLY SHIFFLETTCredential: LCSW

Location Address9228 GEORGE WASHINGTON MEMORIAL HWYGloucester, VA 23061-4162

Mailing Address9228 George Washington Memorial HwyGloucester, VA 23061-4162 · (804) 695-8120 · Fax (804) 695-8122

Phone(804) 695-8120

Fax(804) 695-8122

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateApril 9, 2026

NPPES CertifiedApril 9, 2026

✔ NPI 1679415376 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 VA · 0904020267

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.

9228 GEORGE WASHINGTON MEMORIAL HWY, Gloucester, VA 23061

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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 (PECOS)

Kelly Shifflett Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3971073933

PECOS Enrollment IDI20260601000024

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 23061 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 $56.19 – $170.30

Typical copayment $0.00 (range $14.04 – $42.57)

Most-billed visit code NA

Established Patient

$70.08 typical visit price

range $18.07 – $138.91

Typical copayment $17.52 (range $4.51 – $34.72)

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.

CELESTE CARMODY LCSW

Social Worker (Clinical)