Tiffany L Shaw, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

15693 Issued in MD

Practice address

604 Solarex CT
Suite 201
Frederick, MD 21703-7005

Phone

(301) 663-8263

Fax

(301) 682-5326

NPI assigned

May 3, 2010

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

Enrolled in MD, DC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

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.

• Family Services, Inc

  • Child & Adolescent Psychiatry Physician
  • Gaithersburg, MD
  • NPI 1780641928

  DC

  Medicare reassignment NPD
• Mosaic Community Services, Inc.

  dba Sheppard Pratt

  • Adult Mental Health Clinic/Center
  • Timonium, MD
  • NPI 1265539142
  Medicare reassignment NPD
• Way Station, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hagerstown, MD
  • NPI 1124490784
  Medicare reassignment NPD
• Shire Counseling and Coaching, LLC

  • Community/Behavioral Health Agency
  • Hagerstown, MD
  • NPI 1629857800

  Clinical

  NPD Authorized official
• Family Services, Inc.

  dba Aspire Counseling

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Gaithersburg, MD
  • NPI 1881218816
  NPD
• Mosaic Community Services, Inc

  dba Sheppard Pratt

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Gaithersburg, MD
  • NPI 1710466313
  NPD
• Mosaic Community Services, Inc.

  dba Sheppard Pratt

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Frederick, MD
  • NPI 1104570167
  NPD

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

{
    "created_epoch": "1272844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405468800000",
    "number": "1689991473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 SOLAREX CT",
            "address_2": "SUITE 201",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217037005",
            "telephone_number": "301-663-8263",
            "fax_number": "301-682-5326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 SOLAREX CT",
            "address_2": "SUITE 201",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217037005",
            "telephone_number": "301-663-8263",
            "fax_number": "301-682-5326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "TIFFANY",
        "middle_name": "L",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-03",
        "last_updated": "2014-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "15693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Sue Sharrah
• Mary Shatzer
• Marsha Rosaura Shaw, MD
• Michaela Shaw
• Raymond Shaw, L.AC
• Eric Vaughn Shawl, PHYSICAL THERAPIST
• Michelle B Shay, LCSW
• Preston Kevin Shay
• Jessica Shea
• Mary Ellen Shea

• Clinical Social Worker in Frederick, MD
• Providers in Frederick, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.