Nan Shaw in Oakland - Clinical

Nan Shaw - NPI 1235292624

Nan Shaw is a Clinical in Oakland, California. Nan Shaw practices all healthcare services and medical treatments related to Clinical. The NPI Number for Nan Shaw is 1235292624. The last update date is 2007-07-08.

Nan Shaw's current location address is 3900 Broadway, Oakland, California. You can contact this provider via phone number 5107526584. The mailing address for Nan Shaw is 3900 Broadway, Oakland, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Nan Shaw
Address 3900 Broadway, Oakland, California
Phone Number 5107526584
Fax Number
Sole Proprietor N
Credentials LCSW

NPI Number Detail

NPI Number 1235292624
Provider Enumeration Date 2006-12-18
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3900 Broadway
City Oakland
State California (CA)
Post Code 946115616
Phone Number 5107526584
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No LCS 12482
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
303972 CA KAISER EMPLOYEE ID #

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FAQs about Nan Shaw

What is the unique identifier code issued to Nan Shaw by the Centers for Medicare & Medicaid Services?

The Nan Shaw has been assigned the NPI (National Provider Identifier) 1235292624. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Nan Shaw's facilities are geographically located?

The facilities of Nan Shaw are physically situated at the following location: 3900 Broadway, Oakland, CA, 946115616.

What is Nan Shaw's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Nan Shaw's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1235292624 to Nan Shaw?

The Centers for Medicare & Medicaid Services originally issued the 1235292624 to Nan Shaw on 2006-12-18.

As of what date was the information pertaining to Nan Shaw, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Nan Shaw, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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