Kimberly Shaw
Social Worker, Clinical in St. Albans, NY. Individual provider (NPI-1).
NPI number1689738064
StatusActive
Last updated in NPPESJun 15, 2017
Details
- NPI
- 1689738064
- Entity type
- Individual (NPI-1)
- Name
- Ms. Kimberly Shaw
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 20, 2006
- Last updated
- Jun 15, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 085564-1 | NY | Yes |
| 104100000X | Social Worker | 087621-1 | NY |
Practice location
17900 Linden BlvdSt. Albans, NY 11435
Phone 718-526-1000
Mailing address
17900 Linden BlvdSt. Albans, NY 11435
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Other Clinical Social Worker providers in St Albans, NY
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