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

Ashley Jo Shackelton

Individual provider Clinical Social Worker · NPI 1841765799

Ashley Jo Shackelton is a Clinical Social Worker in Grand Rapids, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2018
Specialties on file
2

Practice location Address checks out

1939 S Division Ave
Grand Rapids, MI 49507
Phone: (616) 247-3815
Fax: (616) 245-0450
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6801108838 (MI)
Clinical Social Worker Taxonomy 1041C0700X · Licence 6801102222 (MI)

Record details

NPI number1841765799
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 8, 2018
Last updated in NPPESApril 22, 2021
Certification dateApril 22, 2021

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