MR. MARK JIM SHELTON LCSW
NPI 1770554289
Social Worker - Clinical in Tooele, UT
About Mr. Mark Jim Shelton Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. MARK JIM SHELTON LCSW (NPI 1770554289) is an individual clinical provider in Tooele, Utah, licensed in Utah (128877-3501) and active in the NPI registry since February 2006. He has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 5
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Mr. Mark Jim Shelton Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2017 through April 1, 2027.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84074 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Mark Shelton's NPI number?
The NPI number for Mark Shelton is 1770554289. It was assigned to this individual provider in the NPPES registry on February 1, 2006.
Where is Mark Shelton located?
Mark Shelton practices at 100 S 1000 W, Tooele, UT 84074. The listed phone number is (435) 843-3520.
What is Mark Shelton's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Mark Shelton enrolled in Medicare?
No. Mark Shelton has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
What insurance does Mark Shelton accept?
Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Utah list Mark Shelton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Mark Shelton was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.
# Mr. Mark Jim Shelton, LCSW · NPI 1770554289
Clinical provider in Tooele, Utah. Individual provider, active in the CMS NPPES registry since February 1, 2006.
## Identity
- **NPI:** 1770554289 (Entity type: Individual)
- **Enumerated:** February 1, 2006
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 128877-3501 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 100 S 1000 W, Tooele, UT 84074-4010
- **Phone:** (435) 843-3520 · **Fax:** (435) 843-3555
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through April 1, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** July 13, 2026
- **Other identifiers:** Other 942938348006 (UT); Other R95603 (UT); Other 107000925101 (UT); and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1770554289) · Data from the CMS NPPES public registry.