Shelly Ann Stum, MSW
NPI 1093062952ActiveIndividual· Social Worker, Clinical· Daytona Beach, FL
Social Worker, Clinical (MSW) in Daytona Beach, Florida, licensed in FL, with an NPI issued in August 2012. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1093062952 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MSW |
| Sole proprietor | No |
| NPI issued | Aug 10, 2012 |
| Last updated in NPPES | Apr 6, 2020 |
| Certified by provider | Apr 6, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | SW13007 | FL |
| Social Worker | 104100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (FL) |
|---|
Education and affiliations
| Graduation year | 2011 |
|---|---|
| Medicare specialty | Clinical Social Worker |
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