Provider Demographics
NPI:1548205701
Name:SHELTON, SARAH M (LMSW, ACSW, CAC-I)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:M
Last Name:SHELTON
Suffix:
Gender:F
Credentials:LMSW, ACSW, CAC-I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:608 FOX ST
Mailing Address - Street 2:
Mailing Address - City:LAPEER
Mailing Address - State:MI
Mailing Address - Zip Code:48446-2129
Mailing Address - Country:US
Mailing Address - Phone:810-538-0229
Mailing Address - Fax:810-538-0231
Practice Address - Street 1:608 FOX ST
Practice Address - Street 2:
Practice Address - City:LAPEER
Practice Address - State:MI
Practice Address - Zip Code:48446-2129
Practice Address - Country:US
Practice Address - Phone:810-538-0229
Practice Address - Fax:810-538-0231
Is Sole Proprietor?:No
Enumeration Date:2006-06-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010596641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical