Brian D. Shaw is a Clinical in Wynne, Arkansas. Brian D. Shaw practices all healthcare services and medical treatments related to Clinical. The NPI Number for Brian D. Shaw is 1396949517. The last update date is 2014-12-30.
Brian D. Shaw's current location address is 204 Mississippi St S, Wynne, Arkansas. You can contact this provider via phone number 8702088499 and fax number 8702088044. The mailing address for Brian D. Shaw is 204 Mississippi St S, Wynne, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian D. Shaw |
|---|---|
| Address | 204 Mississippi St S, Wynne, Arkansas |
| Phone Number | 8702088499 |
| Fax Number | 8702088044 |
| Sole Proprietor | Y |
| Credentials | CM |
NPI Number Detail
| NPI Number | 1396949517 |
|---|---|
| Provider Enumeration Date | 2007-06-12 |
| Last Updated Date | 2014-12-30 |
Provider Mailing Address Detail
| Address | 204 Mississippi St S |
|---|---|
| City | Wynne |
| State | Arkansas (AR) |
| Post Code | 723963025 |
| Phone Number | 8702088499 |
| Fax Number | 8702088044 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 5606C |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Brian D. Shaw by the Centers for Medicare & Medicaid Services?
The Brian D. Shaw has been issued the NPI (National Provider Identifier) 1396949517, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Brian D. Shaw's facilities are situated?
The facilities of Brian D. Shaw are physically located at the following address: 204 Mississippi St S, Wynne, AR, 723963025.
What is the Brian D. Shaw's area of specialization and corresponding taxonomy classification?
The Brian D. Shaw's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1396949517 to Brian D. Shaw?
The Centers for Medicare & Medicaid Services assigned the 1396949517 to Brian D. Shaw on 2007-06-12.
As of what date were the Brian D. Shaw's details last updated?
The information pertaining to the Brian D. Shaw, including its address, specialty, and other details, was most recently updated on 2014-12-30.
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