Gary Marshall Shaw is a Clinical in Austin, Texas. Gary Marshall Shaw practices all healthcare services and medical treatments related to Clinical. The NPI Number for Gary Marshall Shaw is 1669667911. The last update date is 2007-09-10.
Gary Marshall Shaw's current location address is 1511 W Saint Johns Ave, Austin, Texas. You can contact this provider via phone number 5122060837. The mailing address for Gary Marshall Shaw is 1511 W Saint Johns Ave, Austin, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Marshall Shaw |
|---|---|
| Address | 1511 W Saint Johns Ave, Austin, Texas |
| Phone Number | 5122060837 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1669667911 |
|---|---|
| Provider Enumeration Date | 2007-09-10 |
| Last Updated Date | 2007-09-10 |
Provider Mailing Address Detail
| Address | 1511 W Saint Johns Ave |
|---|---|
| City | Austin |
| State | Texas (TX) |
| Post Code | 787571819 |
| Phone Number | 5122060837 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 24493 |
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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 10-digit identification code issued to Gary Marshall Shaw by the Centers for Medicare & Medicaid Services?
The Gary Marshall Shaw has been assigned the NPI (National Provider Identifier) 1669667911 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Gary Marshall Shaw is physically located?
The Gary Marshall Shaw is situated at the following address: 1511 W Saint Johns Ave, Austin, TX 787571819.
What is Gary Marshall Shaw's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Gary Marshall Shaw's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
When was the Gary Marshall Shaw's 1669667911 issued?
The Gary Marshall Shaw's 1669667911 was issued on 2007-09-10.
As of what date were the details pertaining to Gary Marshall Shaw last refreshed?
The information related to the Gary Marshall Shaw, including its address, specialty, and other relevant details, was last updated on 2007-09-10.
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