CMS-1500 Box 24J / 33a • NPI
1952871733
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
1041C0700X (CMS 80)
Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical
Box 32 Service Location & ZIP+4
2210 LINE AVE STE 207, SHREVEPORT, LA, 71104-2134
✓ 9-Digit EDI 837 ZIP+4 (71104-2134)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1952871733 (PATRICIA SHELTON-RAMBO, PTA) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1952871733 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | PATRICIA SHELTON-RAMBO, PTA |
| Plain-English Specialty | Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical NUCC Code: 1041C0700X (Social Worker, Clinical) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 2210 LINE AVE STE 207, SHREVEPORT, LA, 71104-2134 |
| Practice Telephone / Fax | Tel: (318) 675-1112 |
| Administrative Mailing Address | PO BOX 1415, MINDEN, LA, 71058-1415 |
| Enumeration & Last Sync | Enumerated: 2018-12-05 | CMS Record Updated: 2023-12-21 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (1041C0700X)
What Does Taxonomy Code 1041C0700X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 1041C0700X translates to:
"Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (PATRICIA SHELTON-RAMBO, PTA)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
171M00000X — Case Manager/Care CoordinatorPlain English: Licensed & Credentialed Case Manager/Care Coordinator | State: N/A | License: Verified | Primary: Secondary |
225200000X — Physical Therapy AssistantPlain English: Licensed & Credentialed Physical Therapy Assistant | State: LA | License: A5169 | Primary: Secondary |
1041C0700X — Social Worker, ClinicalPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical | State: LA | License: 18174 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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