Lisa Shaw, MSW, LCSW - Medicare Clinical Social Worker in Green Bay, WI

Lisa Shaw, MSW, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Green Bay, Wisconsin. She graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is 1345 W Mason St Ste 102, Green Bay, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 301-3546.

Lisa Shaw is licensed to practice in Wisconsin (license number 7747-123) 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 1629176938.

Contact Information

Lisa Shaw, MSW, LCSW
1345 W Mason St Ste 102,
Green Bay, WI 54303-2049
(920) 301-3546
(920) 301-3400

Map and Direction




Healthcare Provider's Profile

Full NameLisa Shaw
GenderFemale
SpecialityClinical Social Worker
Experience20 Years
Location1345 W Mason St Ste 102, Green Bay, Wisconsin
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Lisa Shaw graduated from medical school in 2004
  NPI Data:
  • NPI Number: 1629176938
  • Provider Enumeration Date: 09/20/2006
  • Last Update Date: 11/23/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3476635194
  • Enrollment ID: I20080201000507

Medical Identifiers

Medical identifiers for Lisa Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629176938NPI-NPPES
43086600MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 7747-123 (Wisconsin)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. Lisa Shaw allows following entities to bill medicare on her behalf.
Entity NameOneida Nation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740278308
PECOS PAC ID: 6800794074
Enrollment ID: O20031224000077
Entity NameNew Depth Counseling & Wellness Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376250795
PECOS PAC ID: 3476923756
Enrollment ID: O20221230002447

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. Lisa 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 AddressPractice Location Address
Lisa Shaw, MSW, LCSW
1345 W Mason St Ste 102,
Green Bay, WI 54303-2049

Ph: (920) 301-3546
Lisa Shaw, MSW, LCSW
1345 W Mason St Ste 102,
Green Bay, WI 54303-2049

Ph: (920) 301-3546

Reviews and Comments


Social Worker in Green Bay, WI

Holly Sage, MSW, APSW
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Shannon M Anderson,
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Phone: 920-497-6161    Fax: 888-974-5769
Lorelle Berglund,
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Practice Location: 1499 6th St, Green Bay, WI 54304
Phone: 920-497-6161    Fax: 888-974-5769

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.