Individual provider Active NPI

Amy R Keiper-Shaw, LCSW,QCSW

  • Clinical Social Worker
  • Newtown, PA
National Provider Identifier
1043401482
Registry record updated Aug 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW013079 Issued in PA
Practice address
5 Buttonwood CT
Newtown, PA 18940-1529
Phone
(267) 364-0243
NPI assigned
Aug 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW013079 PA Primary

Addresses

Primary practice location

5 Buttonwood CT
Newtown, PA 18940-1529

Mailing address

5 Buttonwood CT
Newtown, PA 18940-1529
Phone (267) 364-0243

Other names 1

  • Amy R Shaw Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CW013079PAMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186531200000",
    "number": "1043401482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BUTTONWOOD CT",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401529",
            "telephone_number": "267-364-0243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 BUTTONWOOD CT",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401529",
            "telephone_number": "267-364-0243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEIPER-SHAW",
        "first_name": "AMY",
        "middle_name": "R",
        "credential": "LCSW,QCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-08",
        "last_updated": "2007-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW013079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "SHAW",
            "middle_name": "R",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Newtown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.