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

Simon Shackelford

Individual provider Social Worker · NPI 1396290672

Simon Shackelford is a Social Worker in Bartow, Florida. Practices as a sole proprietor. Registered with an NPI since 2016.

In the registry since
2016
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Practice location Address checks out

1255 Brice Blvd
Bartow, FL 33830-6735
Phone: (863) 519-8233
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X

Record details

NPI number1396290672
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 17, 2016
Last updated in NPPESAugust 17, 2016
Mailing address1255 Brice Blvd, Bartow, FL 33830-6735

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