Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanda Renee Shackelford

Individual provider Mental Health Counselor · NPI 1386085728

Amanda Renee Shackelford is a Clinical Social Worker in Sallisaw, Oklahoma. Qualified in 2016, 10 years ago. Practices with PT Concepts PLLC, a 23-clinician group.

Years since qualifying
10
In the registry since
2013

Practice location Address checks out

205 S J T Stites Blvd
Sallisaw, OK 74955-9323
Phone: (918) 775-7787
Fax: (918) 775-0328
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1386085728
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 15, 2013
Last updated in NPPESJuly 15, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Pt Concepts Pllc — 23 clinicians
Accepts Medicare assignment Not indicated

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