Frrederick Gardiner Shaw, MS, LCPC - Counselor in Avon, IL

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Frrederick Gardiner Shaw, MS, LCPC is a Counselor - Mental Health based in Avon, Illinois. Frrederick Gardiner Shaw is licensed to practice in Illinois (license number ) and his current practice location is 6655 E. Us 36, Avon, Illinois. He can be reached at his office (for appointments etc.) via phone at (317) 272-3330.

NPI number for Frrederick Gardiner Shaw is 1770652224 and his current mailing address is 575 Bennett Ln, Cobden, Illinois. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1770652224.

Contact Information

Frrederick Gardiner Shaw, MS, LCPC
6655 E. Us 36,
Avon, IL 46123
(317) 272-3330
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameFrrederick Gardiner Shaw
GenderMale
SpecialityCounselor - Mental Health
Location6655 E. Us 36, Avon, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1770652224
  • Provider Enumeration Date: 11/07/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Frrederick Gardiner Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770652224NPI-NPPES
9132002OtherILBLUE CROSS BLUE SHIELD
073120OtherILHEALTH ALLIANCE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (Illinois)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. Frrederick Gardiner 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 AddressPractice Location Address
Frrederick Gardiner Shaw, MS, LCPC
575 Bennett Ln,
Cobden, IL 62920-3223

Ph: (618) 893-6115		Frrederick Gardiner Shaw, MS, LCPC
6655 E. Us 36,
Avon, IL 46123

Ph: (317) 272-3330

Reviews and Comments


Counselor in Avon, IL


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