Provider Demographics
NPI:1952298937
Name:SHELTON, KRISTI LEIGHANN (CSW)
Entity type:Individual
Prefix:
First Name:KRISTI
Middle Name:LEIGHANN
Last Name:SHELTON
Suffix:
Gender:F
Credentials:CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:495 S SUNSET RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:NORTH SALT LAKE
Mailing Address - State:UT
Mailing Address - Zip Code:84054-0186
Mailing Address - Country:US
Mailing Address - Phone:303-726-6667
Mailing Address - Fax:
Practice Address - Street 1:5796 S 900 E
Practice Address - Street 2:
Practice Address - City:MURRAY
Practice Address - State:UT
Practice Address - Zip Code:84121-1036
Practice Address - Country:US
Practice Address - Phone:385-436-2075
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-21
Last Update Date:2025-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5479430-3502104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker