Active NPI
Denise Ellen Shaw, LMSW
- Social Worker
- Schnecksville, PA
National Provider Identifier
1841827367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 055527
- Practice address
- 4085 Independence Dr
Schnecksville, PA 18078-2574 - Phone
- (610) 799-8000
- Fax
- (610) 799-7068
- NPI assigned
- Mar 25, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 055527 | NY | Primary |
Addresses
Primary practice location
4085 Independence Dr
Schnecksville, PA 18078-2574
Mailing address
4085 Independence Dr
Schnecksville, PA 18078-2574
Phone (610) 799-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 055527 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Hemlock Reprieve LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Professional Counselor
- East Stroudsburg, PA
- NPI 1134657000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585094400000",
"number": "1841827367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4085 INDEPENDENCE DR",
"city": "SCHNECKSVILLE",
"state": "PA",
"postal_code": "180782574",
"telephone_number": "610-799-8000",
"fax_number": "610-799-7068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4085 INDEPENDENCE DR",
"city": "SCHNECKSVILLE",
"state": "PA",
"postal_code": "180782574",
"telephone_number": "610-799-8000",
"fax_number": "610-799-7068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAW",
"first_name": "DENISE",
"middle_name": "ELLEN",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-25",
"last_updated": "2020-03-25",
"certification_date": "2020-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "055527",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Schnecksville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.