Ms Kathleen Connie Shaw, LLMSW is a
Social Worker - Clinical based in Harrison Twp, Michigan. Ms Kathleen Connie Shaw is licensed to practice in Michigan (license number 3079975) and her current practice location is
34367 Virgil St, Harrison Twp, Michigan. She can be reached at her office (for appointments etc.) via phone at
(586) 822-1298.
NPI number for Ms Kathleen Connie Shaw is 1134477573 and her current mailing address is 34367 Virgil St, Harrison Twp, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1134477573.
Healthcare Provider's Profile
Full Name | Ms Kathleen Connie Shaw |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 34367 Virgil St, Harrison Twp, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1134477573
- Provider Enumeration Date: 08/15/2012
- Last Update Date: 08/15/2012
Medical Identifiers
Medical identifiers for Ms Kathleen Connie Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134477573 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 3079975 (Michigan) | Primary |
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. Ms Kathleen Connie Shaw is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Kathleen Connie Shaw, LLMSW 34367 Virgil St, Harrison Twp, MI 48045-3387 Ph: (586) 822-1298 | Ms Kathleen Connie Shaw, LLMSW 34367 Virgil St, Harrison Twp, MI 48045-3387 Ph: (586) 822-1298 |
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