Daniel Antwain Shaw

Primary specialty

Social WorkerTaxonomy code 104100000X

License

22649-P Issued in OK

Practice address

907 W Caddo St
Cleveland, OK 74020-4201

Phone

(918) 308-5511

Fax

(918) 205-2701

NPI assigned

Feb 18, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1392681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1063836609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PAWNEE COUNTY 907 W. CADDO ST.",
            "city": "CLEVELAND",
            "state": "OK",
            "postal_code": "740204201",
            "telephone_number": "918-308-5511",
            "fax_number": "918-205-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 W CADDO ST",
            "city": "CLEVELAND",
            "state": "OK",
            "postal_code": "740204201",
            "telephone_number": "918-308-5511",
            "fax_number": "918-205-2701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "DANIEL",
        "middle_name": "ANTWAIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-18",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OK",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OK",
            "license": "22649-P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Renae Rosenhamer, LMSW U/S
• Amber Sammons
• Tory Schneider
• Billy Don Schumpert, D.O.
• Annette Shaeffer, MS, LPC
• Shawna Renee Shipman, ARNP
• Lauren Paige Smith
• Michelle Bernadette Smith, LMHC
• Lee Southard
• Michelle Spears

• Social Worker in Cleveland, OK
• Providers in Cleveland, OK by specialty
• Social Worker in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; 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.