Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Shelley Beth Kingsbury, LCSW

Clinical Social Worker in Mystic, CT · enumerated 2019.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104462654

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Registry record

Entity type Individual (Type 1)

Name Shelley Beth Kingsbury

Credential LCSW

Sex Female

Practice address Mystic, CT, 06355

Phone (860) 861-8393

Enumeration date Nov 20, 2019

Last updated in NPPES Aug 26, 2021

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers · License 010666 (CT) Primary

LCSW · Licensed Clinical Social Worker: A social worker licensed for clinical practice including mental-health therapy. About the LCSW credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Shelley Kingsbury?

The National Provider Identifier (NPI) for Shelley Kingsbury is 1104462654, a Type 1 (individual) record in the CMS NPPES registry.

Where does Shelley Kingsbury practice?

The practice location on file with NPPES is in Mystic, CT. Providers can have multiple locations; NPPES lists the primary practice address.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-08-26.