Diedre Shaw, LICSW is a medicare enrolled "Counselor - Mental Health" provider in Lincoln, Nebraska. She graduated from medical school in 2019 and has 6 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is
330 N 48th St Ste A, Lincoln, Nebraska. You can reach out to her office (for appointments etc.) via phone at
(402) 326-9168.
Diedre Shaw is licensed to practice in Nebraska (license number 3052) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1275198194.
Healthcare Provider's Profile
| Full Name | Diedre Shaw |
|---|
| Gender | Female |
|---|
| Speciality | Clinical Social Worker |
|---|
| Experience | 6 Years |
|---|
| Location | 330 N 48th St Ste A, Lincoln, Nebraska |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Diedre Shaw graduated from medical school in 2019
NPI Data:
- NPI Number: 1275198194
- Provider Enumeration Date: 05/06/2019
- Last Update Date: 11/13/2025
Medicare PECOS Information:
- PECOS PAC ID: 2769715564
- Enrollment ID: I20190611000686
Medical Identifiers
Medical identifiers for Diedre Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1275198194 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | 2024 (Nebraska) | Secondary |
| 101YM0800X | Counselor - Mental Health | 3052 (Nebraska) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Diedre Shaw allows following entities to bill medicare on her behalf.
| Entity Name | Diedre Shaw Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1437725603 PECOS PAC ID: 2264808914 Enrollment ID: O20221020001027 |
|---|
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Diedre Shaw is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Diedre Shaw, LICSW 330 N 48th St Ste A, Lincoln, NE 68504-3515 Ph: (402) 326-9168 | Diedre Shaw, LICSW 330 N 48th St Ste A, Lincoln, NE 68504-3515 Ph: (402) 326-9168 |
Reviews and Comments