Susan Ann Shaw, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

490 Issued in WY

Practice address

4301 Mow-Way Road
Reynolds Army Community Hospital
Fort Sill, OK 73505-6300

Phone

(580) 458-2134

NPI assigned

Oct 2, 2006

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578657904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 SE 135",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735013241",
            "telephone_number": "580-581-0273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 MOW-WAY ROAD",
            "address_2": "REYNOLDS ARMY COMMUNITY HOSPITAL",
            "city": "FORT SILL",
            "state": "OK",
            "postal_code": "735056300",
            "telephone_number": "580-458-2134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "SUSAN",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WY",
            "license": "490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Rae See, RD/LD
• James Raymond Seifried, D.D.S.
• Janet Denise Seratte, PHARMD
• Eric Matthew Sexton, D.D.S.
• Jonathan Shaffer, DDS
• Kathleen Jean Shepard, NP
• Mark Eden Sherman, LCSW
• Tiffany Simmons, DMD
• Mark Sistoso
• Moniqua Ann Smiley, RDH

• Mental Health Counselor in Fort Sill, OK
• Providers in Fort Sill, OK by specialty
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.