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MR. DEREK SHELTON LCSWA
NPI 1720492994
Social Worker - Clinical in Wilmington, NC

Active since June 16, 2014PECOS EnrolledAccepts Medicare Assignment
615 SHIPYARD BLVD, WILMINGTON, NC 28412(910) 343-0145 Get Directions Write a Review

NPPES record last updated: June 16, 2014. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mr. Derek Shelton Lcswa NPPES

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

MR. DEREK SHELTON LCSWA (NPI 1720492994) is an individual clinical provider in Wilmington, North Carolina, licensed in North Carolina (P008779) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1720492994
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. DEREK SHELTONCredential: LCSWA
Location Address615 SHIPYARD BLVDWilmington, NC 28412-6431
Mailing Address469 Forest Lake CirKernersville, NC 27284-9371 · (336) 813-3404
Phone(910) 343-0145
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJune 16, 2014
✔ NPI 1720492994 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 NC · P008779
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.
615 SHIPYARD BLVD, Wilmington, NC 28412
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Derek Shelton Lcswa 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 ID547556664
PECOS Enrollment IDI20160915000859
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.

Medicare Billing Reassignment

Medicare enrollment records show Derek Shelton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Coastal Horizons Center, Inc.
Same address
Community/Behavioral Health
615 SHIPYARD BLVD
Wilmington, NC 28412
  • Reassigned Medicare billing, North Carolina enrollment
  • 70 clinicians in this Medicare group
NPI 1922022607 (910) 790-0187

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
38 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28412 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 $54.12 – $165.09
Typical copayment $0.00 (range $13.53 – $41.27)
Most-billed visit code NA
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

COASTAL HORIZONS CENTER, INC.
Psychologist (Prescribing (Medical))
615 SHIPYARD BLVD
WILMINGTON, NC 28412
New Hanover County (910) 790-0187
MISS MARY FLORENCE WOOD LCSWA
Social Worker (Clinical)
615 SHIPYARD BLVD
WILMINGTON, NC 28412
New Hanover County (910) 617-9647
MRS. ISABELLA LECCI PATE LCSWA
Social Worker (Clinical)
615 SHIPYARD BLVD
WILMINGTON, NC 28412
New Hanover County (910) 931-4147
WHITNEY SHANTE JONES
Social Worker (Clinical)
615 SHIPYARD BLVD
WILMINGTON, NC 28412
New Hanover County (910) 343-0145
TERRANCE WILLIAMS LCSW
Social Worker (Clinical)
615 SHIPYARD BLVD
WILMINGTON, NC 28412
New Hanover County (910) 343-0145
DANIELLE MARGARET ROBBINS LCSW-A
Social Worker (Clinical)
615 SHIPYARD BLVD
WILMINGTON, NC 28412
New Hanover County (910) 399-3755
BRITTNEY PROCTOR LCSW
Social Worker (Clinical)
615 SHIPYARD BLVD
WILMINGTON, NC 28412
New Hanover County (910) 202-3155
MARIAH LYNN MARTINEAU LOPEZ LCAS, LCSWA
Social Worker (Clinical)
615 SHIPYARD BLVD
WILMINGTON, NC 28412
New Hanover County (910) 622-1610

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 Derek Shelton's NPI number?

The NPI number for Derek Shelton is 1720492994. It was assigned to this individual provider in the NPPES registry on June 16, 2014.

Where is Derek Shelton located?

Derek Shelton practices at 615 Shipyard Blvd, Wilmington, NC 28412. The listed phone number is (910) 343-0145.

What is Derek Shelton's specialty?

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

Is Derek Shelton enrolled in Medicare?

Yes. Derek Shelton 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.

Which organization bills Medicare for Derek Shelton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Derek Shelton reassigns Medicare benefits to Coastal Horizons Center, Inc. (Wilmington, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Derek Shelton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Derek Shelton was last updated on June 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.