IndividualActive
Simon Shackelford
NPI 1396290672 · Social Worker · Bartow, FL
Simon Shackelford is a Social Worker provider in Bartow, FL (NPI 1396290672).
Provider details
- NPI number
- 1396290672
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1255 Brice Blvd
Bartow, FL 33830-6735
Phone: (863) 519-8233
Street-level locationGet directions
Mailing address
1255 Brice Blvd
Bartow, FL 33830-6735
Registry dates
- Enumerated
- 2016-08-17
- Last updated
- 2016-08-17
Frequently asked questions
- What is Simon Shackelford's NPI number?
- Simon Shackelford's National Provider Identifier (NPI) is 1396290672, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Simon Shackelford's specialty?
- Simon Shackelford is listed in the NPPES registry with a primary specialty of Social Worker (Behavioral Health & Social Service Providers).
- Where is Simon Shackelford located?
- Simon Shackelford's practice location on file with NPPES is 1255 Brice Blvd, Bartow, FL 33830-6735.
- What is Simon Shackelford's phone number?
- The practice phone number listed in the NPPES registry for Simon Shackelford is (863) 519-8233.
- Is Simon Shackelford's NPI active?
- Yes — Simon Shackelford's NPI (1396290672) is active in the NPPES registry as of the last update on 2016-08-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.