Lara Jean Shaw, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

150.113062 Issued in IL

Practice address

1200 Locust St
Eldorado, IL 62930-1723

Phone

(618) 252-9036

NPI assigned

Apr 3, 2025

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)

Not enrolled

State licenses

Practice roles

Locations

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.

• Stress & Trauma Treatment Center, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Eldorado, IL
  • NPI 1851966014
  NPD

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

{
    "created_epoch": "1743638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1518761832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 NORTH ST",
            "city": "HARRISBURG",
            "state": "IL",
            "postal_code": "629463421",
            "telephone_number": "618-499-4918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 LOCUST ST",
            "city": "ELDORADO",
            "state": "IL",
            "postal_code": "629301723",
            "telephone_number": "618-252-9036"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 W Poplar St",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "IL",
            "postal_code": "629461434",
            "country_code": "US",
            "telephone_number": "618-499-4918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAW",
        "first_name": "LARA",
        "middle_name": "JEAN",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-03",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.113062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mikaylah Bree Rodriguez
• Emily Dawn Rubenacker, D.M.D.
• Debra Dian Rumsey, LPN
• Lauren Meredith Sanders
• Miranda Sanders, LPN
• Sierra Sigler, NP
• Susan E Sigler, FNP
• Aleza Sitarz
• Dorothy Smith, RN
• Gerald Smith II

• Social Worker in Eldorado, IL
• Providers in Eldorado, IL by specialty
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; 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.