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

Carmen Shelbrack

Individual provider Mental Health Counselor · NPI 1063066348

Carmen Shelbrack is a Clinical Social Worker in Los Angeles, California. Qualified in 2019, 7 years ago. Practices with Sud Specialty Group - Ca, a 499-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
7
Licensed in
CA
In the registry since
2019
Specialties on file
3
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Practice location Address checks out

470 E 3rd St Ste C
Los Angeles, CA 90013-1630
Phone: (213) 620-5712
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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 107671 (CA)
Mental Health Counselor Taxonomy 101YM0800X · Licence 90865 (CA)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1063066348
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 25, 2019
Last updated in NPPESApril 20, 2022
Certification dateApril 20, 2022

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Sud Specialty Group - Ca — 499 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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