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

Mr. Cameron Lee Shackelford II, LSW

Individual provider Mental Health Counselor · NPI 1477411833

Mr. Cameron Lee Shackelford II, LSW is a Mental Health Counselor in Fort Wayne, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2026
What do these letters mean?
LSW — Licensed Social Worker
A state-licensed social worker.

See every abbreviation used in this directory →

Practice location Address checks out

2013 S Anthony Blvd
Fort Wayne, IN 46803-3609
Phone: (260) 255-3514
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 33013488A (IN)

Record details

NPI number1477411833
Entity typeIndividual (Type 1)
GenderMale
Credentials LSW
Sole proprietorYes
NPI enumeratedJanuary 14, 2026
Last updated in NPPESJanuary 14, 2026
Certification dateJanuary 14, 2026

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