Elyssa Lorraine Shaw, ASW11761 is a
Social Worker - Clinical based in Grand Terrace, California. Elyssa Lorraine Shaw is licensed to practice in * (Not Available) (license number ASW11761) and her current practice location is
21810 Main St, Grand Terrace, California. She can be reached at her office (for appointments etc.) via phone at
(909) 580-5006.
NPI number for Elyssa Lorraine Shaw is 1821800111 and her current mailing address is 21810 Main St, Grand Terrace, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1821800111.
Healthcare Provider's Profile
Full Name | Elyssa Lorraine Shaw |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 21810 Main St, Grand Terrace, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1821800111
- Provider Enumeration Date: 01/23/2025
- Last Update Date: 01/23/2025
Medical Identifiers
Medical identifiers for Elyssa Lorraine Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1821800111 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | ASW11761 (California) | Secondary |
1041C0700X | Social Worker - Clinical | ASW11761 (* (Not Available)) | 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. Elyssa Lorraine 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 |
Elyssa Lorraine Shaw, ASW11761 21810 Main St, Grand Terrace, CA 92313-5810 Ph: (909) 580-5006 | Elyssa Lorraine Shaw, ASW11761 21810 Main St, Grand Terrace, CA 92313-5810 Ph: (909) 580-5006 |
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