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

Kelly Shifflett, LCSW

Individual provider Clinical Social Worker · NPI 1679415376

Kelly Shifflett, LCSW is a Clinical Social Worker in Gloucester, Virginia. Qualified in 2021, 5 years ago. Licensed in Virginia.

Years since qualifying
5
Licensed in
VA
In the registry since
2026
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

9228 George Washington Memorial Hwy
Gloucester, VA 23061-4162
Phone: (804) 695-8120
Fax: (804) 695-8122
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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 0904020267 (VA)

Record details

NPI number1679415376
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedApril 9, 2026
Last updated in NPPESApril 9, 2026
Certification dateApril 9, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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