Individual provider Active NPI

Diedre Shaw, LICSW

  • Mental Health Counselor
  • Lincoln, NE
National Provider Identifier
1275198194
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3052 Issued in NE
Practice address
330 N 48TH St Ste a
Lincoln, NE 68504-3515
Phone
(402) 326-9168
Fax
(402) 817-1172
NPI assigned
May 6, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2024 NE
Mental Health Counselor 101YM0800X 3052 NE Primary

Addresses

Primary practice location

330 N 48TH St Ste a
Lincoln, NE 68504-3515

Mailing address

330 N 48TH St Ste a
Lincoln, NE 68504-3515
Phone (402) 326-9168

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.shawandnest.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190611000686 NE Practitioner - Clinical Social Worker 2769715564 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

245 S 84TH St
Suite L101
Lincoln, NE 68510-2601
Phone (402) 326-9168

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3052NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Diedre Shaw LLC Mental Health CurrentSince Sep 1, 2022 Accepting new patients

Locations

245 S 84th St
Ste L101
Lincoln, NE 68510
Phone (402) 326-9168

330 N 48th St
Ste A
Lincoln, NE 68504
Phone (402) 326-9168

4701 Van Dorn St
Ste B
Lincoln, NE 68506
Phone (402) 570-0401

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1557100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1275198194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 N 48TH ST STE A",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685043515",
            "telephone_number": "402-326-9168",
            "fax_number": "402-817-1172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 N 48TH ST STE A",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685043515",
            "telephone_number": "402-326-9168",
            "fax_number": "402-817-1172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "DIEDRE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-06",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "2024",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "3052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.shawandnest.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "330 N 48th St Ste A",
            "city": "Lincoln",
            "state": "NE",
            "country_code": "US",
            "postal_code": "685043515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.