PENN SHELTON LCSW - 125557
NPI 1861033664
Social Worker - Clinical in Gardena, CA

Active since October 02, 2019
13605 S VERMONT AVE APT 14, GARDENA, CA 90247(818) 212-5968 Get Directions Write a Review

NPPES record last updated: September 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 24, 2024, Oct 2, 2019 (2 updates tracked since 2019).

About Penn Shelton Lcsw - 125557 NPPES

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

PENN SHELTON LCSW - 125557 (NPI 1861033664) is an individual clinical provider in Gardena, California, licensed in California (125557) and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1861033664
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NamePENN SHELTONCredential: LCSW - 125557
Location Address13605 S VERMONT AVE APT 14Gardena, CA 90247-2060
Mailing Address13605 S Vermont Ave Apt 14Gardena, CA 90247-2060 · (818) 212-5968
Sole ProprietorYes
Enumeration DateOctober 2, 2019
Last NPPES UpdateSeptember 24, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2024
NPI 1861033664 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 CA · 125557
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.
13605 S VERMONT AVE APT 14, Gardena, CA 90247

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 Penn Shelton's NPI number?

The NPI number for Penn Shelton is 1861033664. It was assigned to this individual provider in the NPPES registry on October 2, 2019.

Where is Penn Shelton located?

Penn Shelton practices at 13605 S Vermont Ave Apt 14, Gardena, CA 90247. The listed phone number is (818) 212-5968.

What is Penn Shelton's specialty?

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

When was this NPI record last updated?

The NPPES record for Penn Shelton was last updated on September 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.