Julie Shaw

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801093853 Issued in MI

Practice address

18966 Greenfield Rd
Detroit, MI 48235-2907

Phone

(313) 397-1611

NPI assigned

Jun 20, 2016

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 MI

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 1

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.

• Single Family Living

  • Community Health Clinic/Center
  • Royal Oak, MI
  • NPI 1285453084
  Medicare reassignment NPD
• Health One Medical Center, Eastpointe LLC

  • Pediatrics Physician
  • Eastpointe, MI
  • NPI 1669508917
  NPD (past)

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505692800000",
    "number": "1831549914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38807 ANN ARBOR RD",
            "address_2": "STE 7",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481503896",
            "telephone_number": "313-397-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18966 GREENFIELD RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482352907",
            "telephone_number": "313-397-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "JULIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-20",
        "last_updated": "2017-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801093853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Shaw
• Gilbert Shaw III
• Henrietta F Shaw
• Hudson Shaw III
• Janell Shaw, LLBSW
• Karra Shaw
• Melody Shaw, PA
• Pierce Michelson Shaw, PHARMD
• Taher Shawartamimi, M.B.B.S
• Erin Shawgo, LMSW

• Clinical Social Worker in Detroit, MI
• Providers in Detroit, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2017; 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.