Judith Lee Shaw, LISW
Individual provider Active NPI Clinical Social Worker · El Rito, NM
NPI 1831341726 · NPPES record last updated Oct 22, 2008
Key facts
- NPI
- 1831341726
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- I-06403 (NM)
- Practice address
- Hwy 571 BLDG #28
El Rito, NM 87530 - Phone
- (575) 581-4728
- Fax
- (575) 581-0030
- NPI assigned
- Oct 22, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I-06403 | NM | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I-06403 | NM | Yes |
Addresses
Primary practice location
Hwy 571 BLDG #28
El Rito, NM 87530
Mailing address
686 Callecita Jicarilla
Santa Fe, NM 87505-4940
Phone (575) 581-4728
Other providers in El Rito, NM
- Mesa Vista Consolidated Schools
- Jessica Rodriguez
- Stacia Roum
- Veronica M Sanchez
- Roy H. Scott
- Tamara Alynn Singleton
- Stepping Stones of Faith, LLC
- Lucrecia Tainter
- Tamara Singleton, MD Inc.
- Amanda O Trujillo
All providers in El Rito, NM · Clinical Social Worker in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 22, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.