Kendra Patricia Shackelton, LMSW
NPI 1629355425ActiveIndividual· Social Worker, Clinical· Ann Arbor, MI
Social Worker, Clinical (LMSW) with Joel L Young MD PC, practicing in Ann Arbor, Michigan. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1629355425 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LMSW |
| Sole proprietor | No |
| NPI issued | Nov 8, 2011 |
| Last updated in NPPES | May 2, 2023 |
| Certified by provider | May 2, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 6801091837 | MI |
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 (MI) |
|---|
Education and affiliations
| Graduation year | 2009 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- Joel L Young MD PCRochester Hills, MI · 59 clinicians
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All 1,510 clinical social workers in Ann Arbor · All clinical social workers in Michigan