Active NPI
Makayla Shaw, LSW
- Social Worker
- Mount Vernon, OH
National Provider Identifier
1356291694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.2613403
- Practice address
- 809 Coshocton Ave Ste I
Mount Vernon, OH 43050-1900 - Phone
- (866) 534-2639
- Fax
- (800) 480-7578
- NPI assigned
- Jan 28, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | S.2613403 | OH | Primary |
Addresses
Primary practice location
809 Coshocton Ave Ste I
Mount Vernon, OH 43050-1900
Mailing address
6959 Kinney Rd
Mount Vernon, OH 43050-8534
Phone (614) 900-5954
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
| License | State | Type | Specialty |
|---|---|---|---|
| S.2613403 | OH | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1769558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769558400000",
"number": "1356291694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6959 KINNEY RD",
"city": "MOUNT VERNON",
"state": "OH",
"postal_code": "430508534",
"telephone_number": "614-900-5954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "809 COSHOCTON AVE STE I",
"city": "MOUNT VERNON",
"state": "OH",
"postal_code": "430501900",
"telephone_number": "866-534-2639",
"fax_number": "800-480-7578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAW",
"first_name": "MAKAYLA",
"credential": "LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-01-28",
"last_updated": "2026-01-28",
"certification_date": "2026-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker",
"state": "OH",
"license": "S.2613403",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Vernon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.