Provider Demographics
NPI:1669719019
Name:SHELTON, ELIZABETH B (LCSW)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:B
Last Name:SHELTON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:864 NORTHRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:BOONE
Mailing Address - State:NC
Mailing Address - Zip Code:28607-6194
Mailing Address - Country:US
Mailing Address - Phone:828-263-0121
Mailing Address - Fax:828-268-9050
Practice Address - Street 1:950 STATE FARM RD
Practice Address - Street 2:SUITE 200
Practice Address - City:BOONE
Practice Address - State:NC
Practice Address - Zip Code:28607-5021
Practice Address - Country:US
Practice Address - Phone:828-263-0121
Practice Address - Fax:828-268-9050
Is Sole Proprietor?:No
Enumeration Date:2013-01-04
Last Update Date:2013-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0044451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical