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

Penn Shelton, LCSW-125557

Individual provider Clinical Social Worker · NPI 1861033664

Penn Shelton, LCSW-125557 is a Clinical Social Worker in Gardena, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2019

Practice location Address checks out

13605 S Vermont Ave Apt 14
Gardena, CA 90247-2060
Phone: (818) 212-5968
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 125557 (CA)

Record details

NPI number1861033664
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW-125557
Sole proprietorYes
NPI enumeratedOctober 2, 2019
Last updated in NPPESSeptember 24, 2024
Certification dateSeptember 24, 2024

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