Individual provider Active NPI

Melissa Shaw, MSW, LCSW

  • Clinical Social Worker
  • Lakewood, CO
National Provider Identifier
1336405273
Registry record updated Oct 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1774 Issued in CO
Practice address
12211 W Alameda Pkwy Ste 201
Lakewood, CO 80228-2825
Phone
(720) 583-5668
NPI assigned
Apr 4, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2021

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 1774 CO Primary

Addresses

Primary practice location

12211 W Alameda Pkwy Ste 201
Lakewood, CO 80228-2825

Mailing address

13905 W Layton Cir
Morrison, CO 80465-1070
Phone (314) 941-0676

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address melissa@knot-therapy.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 1, 2024 through Oct 1, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Knot Therapy, LTD. Clinical CurrentSince Apr 9, 2023 Accepting new patients

Locations

12211 W Alameda Pkwy
Ste 201
Lakewood, CO 80228
Phone (720) 470-6999

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": "1333497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633651200000",
    "number": "1336405273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13905 W LAYTON CIR",
            "city": "MORRISON",
            "state": "CO",
            "postal_code": "804651070",
            "telephone_number": "314-941-0676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12211 W ALAMEDA PKWY STE 201",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802282825",
            "telephone_number": "720-583-5668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "MELISSA",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-04",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "1774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "melissa@knot-therapy.com",
            "affiliation": "N",
            "endpointDescription": "Practice Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "12211 W Alameda Pkwy Ste 201",
            "city": "Lakewood",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802282825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.