Female

Nordia Shackelford LICSW

Clinical Social Worker in Seattle, WA(View on Map)

Full Name

Nordia Shackelford LICSW

NPI Number

1932539681

NPI Type

Individual Provider

Gender

Female

Enumeration Date

11/16/2013

Specialties

(Taxonomies)

Code

1041C0700X

Primary Taxonomy

Yes

Licenses

State

New York
Virginia
Washington

License Number

077840
0904008972
LW60765277

Contact
Information

Purpose

Mailing
Location

Address

3272 CALIFORNIA AVE SW STE 300
3272 CALIFORNIA AVE SW STE 300

City

Seattle
Seattle

State

WA
WA

Postal Code

98116-3375
98116-3375

Country

US
US

Telephone Number

N/A
(206) 289-0438

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 01/03/2022

Provider Address

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