Rebecca Madeleine Shaw, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

098160 Issued in NY

Practice address

743 E 9TH St
New York, NY 10009-5335

Phone

(212) 677-7999

NPI assigned

Oct 24, 2018

Last updated

Oct 24, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1540339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540339200000",
    "number": "1417424870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "358 SAINT JOHNS PL APT I",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112385325",
            "telephone_number": "646-552-1323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "743 E 9TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100095335",
            "telephone_number": "212-677-7999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "57 Willoughby St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112015257",
            "country_code": "US",
            "telephone_number": "718-277-0386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAW",
        "first_name": "REBECCA",
        "middle_name": "MADELEINE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-24",
        "last_updated": "2018-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "098160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Shaw
• Lucy Shaw, LMSW
• Marc S Shaw, L.C.S.W.
• Patrice Monique Shaw, RN
• Rebecca Lynn Shaw, LCSW
• Ronald P Shaw, MD
• Ronda Shaw, M.D.
• Sabrina Shaw, LMSW
• Sara Shaw, PA
• Sharon B. Shaw, MSW

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; 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.