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

Individual provider Clinical Social Worker · NPI 1629355425

Kendra Patricia Shackelton, LMSW is a Clinical Social Worker in Ann Arbor, Michigan. Qualified in 2009, 17 years ago. Practices with Joel L Young MD PC, a 59-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
17
Licensed in
MI
In the registry since
2011
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

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Practice location Address checks out

1500 E Medical Center Dr
Ann Arbor, MI 48109-5000
Phone: (734) 936-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 221 S Main St, Royal Oak, MI 48067-2653 — (248) 398-6459

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6801091837 (MI)

Record details

NPI number1629355425
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMSW
Sole proprietorNo
NPI enumeratedNovember 8, 2011
Last updated in NPPESMay 2, 2023
Certification dateMay 2, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Joel L Young Md Pc — 59 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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