Michelle Nicole Shaw, LCSW | |
790 Ridge Rd, Lackawanna, NY 14218-1629 | |
(716) 828-9651 | |
(716) 828-9450 |
Full Name | Michelle Nicole Shaw |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 790 Ridge Rd, Lackawanna, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295392819 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 095713 (New York) | Primary |
Entity Name | Baker Hall |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669695391 PECOS PAC ID: 2062771702 Enrollment ID: O20180125001961 |
Mailing Address | Practice Location Address |
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Michelle Nicole Shaw, LCSW 430 Niagara St, Buffalo, NY 14201-1886 Ph: (716) 853-1335 | Michelle Nicole Shaw, LCSW 790 Ridge Rd, Lackawanna, NY 14218-1629 Ph: (716) 828-9651 |
Miss Christine Marie Williams, LCSW-R Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 650 Ridge Rd, Lackawanna, NY 14218 Phone: 716-828-9700 | |
Margarete Lamagna, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 650 Ridge Rd, Lackawanna, NY 14218 Phone: 716-828-9700 | |
Suzanne Buck, LCSW-R Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 790 Ridge Rd, Lackawanna, NY 14218 Phone: 716-828-9651 | |
Mrs. Sheila M Dina, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 650 Ridge Rd, Lackawanna, NY 14218 Phone: 716-828-9700 | |
Paul Nicholas Hurley, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 790 Ridge Rd, Lackawanna, NY 14218 Phone: 716-828-9500 | |
Janelle Marie Ventura, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 650 Ridge Rd, Lackawanna, NY 14218 Phone: 716-828-9700 |