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

Individual provider Mental Health Counselor · NPI 1568867786

Robert Shackelford, ACSW is a Mental Health Counselor in Riverside, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

3420 Franklin Ave
Riverside, CA 92507-3351
Phone: (949) 273-0555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 410 Virginia Dr, San Jacinto, CA 92583-3335 — (951) 256-6174

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence ASW92798 (CA)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1568867786
Entity typeIndividual (Type 1)
GenderMale
Credentials ACSW
Sole proprietorNo
NPI enumeratedOctober 30, 2014
Last updated in NPPESSeptember 28, 2024
Certification dateSeptember 28, 2024

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