Melissa Clare Shaw

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT141102 Issued in CA

Practice address

478 Maverick LN
Poplar Bluff, MO 63901-6575

Phone

(562) 686-8660

NPI assigned

Sep 12, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Melissa Anne Olivia Clare Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1568246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1447800412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1834",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639021834",
            "telephone_number": "562-686-8660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "478 MAVERICK LN",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639016575",
            "telephone_number": "562-686-8660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "720 Wood St",
            "address_purpose": "LOCATION",
            "city": "Eureka",
            "state": "CA",
            "postal_code": "955014413",
            "country_code": "US",
            "telephone_number": "707-268-2990",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "730 Medical Center Ct",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919116618",
            "country_code": "US",
            "telephone_number": "619-863-5700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAW",
        "first_name": "MELISSA",
        "middle_name": "CLARE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-12",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "AMFT113382",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT113382",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT141102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "CLARE",
            "middle_name": "ANNE OLIVIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Samantha May Darlene Shackleford
• Melanie Lynn Shands, MSW, LCSW
• Sharon K. Brandon, LLC
• Noble Leon Shaver Jr., LPC CSAC II
• Erin Kathryn Shaw, LCSW, ACSW, MSW
• Jordyn Lexus Shearrer
• Amy E Shell, F.N.P- B.C.
• Keith Alan Shelton, RPH
• Kristin Shelton
• Breanne Gail Shepherd

• Marriage & Family Therapist in Poplar Bluff, MO
• Providers in Poplar Bluff, MO by specialty
• Marriage & Family Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; 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.