Active NPIIndividual providerSole proprietor

Susan Shaw, MSW, LICSW, LADC-1

Social Worker, Clinical in Arlington, Massachusetts

NPI Number1023160538
Practice location
299 Broadway, Arlington, MA 02474
Fax
617-623-3653
Last updated
September 21, 2010

Susan Shaw is a Social Worker, Clinical based in Arlington, MA. Susan Shaw practices in Arlington, MA and has the professional credentials of MSW, LICSW, LADC-1. The NPI Number for Susan Shaw is 1023160538 and holds a License No. 1626 (MA). The current practice location address for Susan Shaw is 299 Broadway, Arlington, MA 02474 and can be reached out via phone at 617-224-3107 and via fax at 617-623-3653.

Provider Profile Details

NPI Number
1023160538
Provider Name
Susan Shaw
Credential
MSW, LICSW, LADC-1
Provider Entity Type
Individual
Gender
Female
Address
299 Broadway, Arlington, MA 02474
Phone Number
617-224-3107
Fax Number
617-623-3653
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
January 17, 2007
Last Update Date
September 21, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
299 Broadway
Arlington, MA 02474
Zip
02474
Phone Number
617-224-3107
Fax Number
617-623-3653
Arlington, MA 02474Get directions →

Provider Business Mailing Address Details

Address
Po Box 440189
Somerville, MA 02144-0002
City
Somerville
State
MA
Zip
02144-0002
Phone Number
617-224-3107

License Information

License Number (1)
1626
License State (1)
MA
License Number (2)
1032175
License State (2)
MA
Taxonomy (2)
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Susan Shaw, MSW, LICSW, LADC-1?

The NPI number of Susan Shaw, MSW, LICSW, LADC-1 is 1023160538. It was assigned on January 17, 2007 and is currently active in the NPPES registry.

What is the specialty of Susan Shaw, MSW, LICSW, LADC-1?

Susan Shaw, MSW, LICSW, LADC-1 is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 1626.

Where does Susan Shaw, MSW, LICSW, LADC-1 practice?

The practice location is 299 Broadway, Arlington, MA 02474. The office can be reached at 617-224-3107 (phone) or 617-623-3653 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1023160538 directly on the NPPES registry website.

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