Gwen Shaw in Lubbock - Addiction (substance Use Disorder)
Gwen Shaw - NPI 1619902160
Gwen Shaw is a Addiction (substance Use Disorder) in Lubbock, Texas. Gwen Shaw practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Gwen Shaw is 1619902160. The last update date is 2009-05-06.
Gwen Shaw's current location address is 3515 22nd St, Lubbock, Texas. You can contact this provider via phone number 8067998830 and fax number 8067994688. The mailing address for Gwen Shaw is 3515 22nd St, Lubbock, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gwen Shaw |
|---|---|
| Address | 3515 22nd St, Lubbock, Texas |
| Phone Number | 8067998830 |
| Fax Number | 8067994688 |
| Sole Proprietor | Y |
| Credentials | MSSW LCSW |
NPI Number Detail
| NPI Number | 1619902160 |
|---|---|
| Provider Enumeration Date | 2006-07-12 |
| Last Updated Date | 2009-05-06 |
Provider Mailing Address Detail
| Address | 3515 22nd St |
|---|---|
| City | Lubbock |
| State | Texas (TX) |
| Post Code | 794101307 |
| Phone Number | 8067998830 |
| Fax Number | 8067994688 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 4952 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 119740203 | TX | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Gwen Shaw by the Centers for Medicare & Medicaid Services?
The Gwen Shaw has been assigned the NPI (National Provider Identifier) 1619902160. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Gwen Shaw is located?
The Gwen Shaw is situated at the following address: 3515 22Nd St, Lubbock, TX, 794101307.
What is Gwen Shaw's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Gwen Shaw is Addiction (substance Use Disorder), and the taxonomy classification code that categorizes this area of expertise is 101Ya0400X.
When was the Gwen Shaw's 1619902160 issued?
The Gwen Shaw's 1619902160 was issued on 2006-07-12.
When was the Gwen Shaw's information last updated?
The Gwen Shaw's information was last updated on 2009-05-06.