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

Shelby Hettenbach, LICSW

Individual provider Social Worker · NPI 1427662873

Shelby Hettenbach, LICSW is a Clinical Social Worker in Washington, District of Columbia. Qualified in 2023, 3 years ago. Licensed in District of Columbia.

Years since qualifying
3
Licensed in
DC
In the registry since
2020
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

2333 Ontario Rd NW
Washington, DC 20009-2627
Phone: (202) 483-8196
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence LC200004331 (DC)

Record details

NPI number1427662873
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedSeptember 2, 2020
Last updated in NPPESDecember 23, 2025
Certification dateDecember 23, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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