Andrea Shaw is a Clinical in Troy, Illinois. Andrea Shaw practices all healthcare services and medical treatments related to Clinical. The NPI Number for Andrea Shaw is 1851463004. The last update date is 2021-04-05.
Andrea Shaw's current location address is 552 Edwardsville Rd, Troy, Illinois. You can contact this provider via phone number 6185206963. The mailing address for Andrea Shaw is 552 Edwardsville Rd, Troy, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Andrea Shaw |
|---|---|
| Address | 552 Edwardsville Rd, Troy, Illinois |
| Phone Number | 6185206963 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1851463004 |
|---|---|
| Provider Enumeration Date | 2006-11-14 |
| Last Updated Date | 2021-04-05 |
Provider Mailing Address Detail
| Address | 552 Edwardsville Rd |
|---|---|
| City | Troy |
| State | Illinois (IL) |
| Post Code | 622941338 |
| Phone Number | 6185206963 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 149011548 |
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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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What is the unique identification code assigned to Andrea Shaw by the Centers for Medicare & Medicaid Services?
The Andrea Shaw has been issued the NPI (National Provider Identifier) 1851463004. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Andrea Shaw?
The Andrea Shaw is physically situated at 552 Edwardsville Rd, in the city of Troy, state of IL, with the postal code 622941338.
What is Andrea Shaw's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Andrea Shaw is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1851463004 to Andrea Shaw?
The Andrea Shaw received its 1851463004 assignment from the Centers for Medicare & Medicaid Services on 2006-11-14.
When was the information regarding Andrea Shaw, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Andrea Shaw, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-04-05.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC