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Rebecca Candace Shelton-Williams

Social Worker

Behavioral Health & Social Service Providers

22511 Telegraph Rd Ste 101, Southfield, MI 48033-4108

PECOS Enrollment

This provider is enrolled in PECOS as REBECCA SHELTON WILLIAMS.

Based on the most recent information from CMS, provider Rebecca Candace Shelton-Williams is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 11:21 AM.

Profile Details

Provider ID
1740428820
Provider Type
Individual
Full Name
Shelton-Williams, Rebecca Candace
Title
Mrs.
Credential
LMSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
1/28/2009
Last Updated
1/28/2009

Contact Information

Practice Location

22511 Telegraph Rd Ste 101, Southfield, MI 48033-4108

(248) 356-0540

(248) 356-0539

Mailing Location

22511 Telegraph Rd Ste 101, Southfield, MI 48033-4108

(248) 356-0540

(248) 356-0539

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 6801085506 Michigan

Rebecca Candace Shelton-Williams

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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