Individual provider · Type 1 NPI

Kelly Shifflett, LCSW

Clinical Social Worker · Gloucester, VA

NPI number 1679415376 Active

Practice location

9228 George Washington Memorial Hwy
Gloucester, VA 23061-4162

Call (804) 695-8120 Map

Fax (804) 695-8122

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0904020267 (VA)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1679415376

Kelly Shifflett, LCSW's National Provider Identifier is 1679415376, issued on Apr 9, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Gloucester, VA. The record was last updated on Apr 9, 2026.