Kevin Shaw, LCSW, CADC III is a
Social Worker - Clinical based in Bend, Oregon. Kevin Shaw is licensed to practice in Oregon (license number 4658) and his current practice location is
2577 Ne Courtney Dr, Bend, Oregon. He can be reached at his office (for appointments etc.) via phone at
(541) 322-7500.
NPI number for Kevin Shaw is 1861699563 and his current mailing address is 2577 Ne Courtney Dr, Bend, Oregon. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1861699563.
Healthcare Provider's Profile
Full Name | Kevin Shaw |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 2577 Ne Courtney Dr, Bend, Oregon |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1861699563
- Provider Enumeration Date: 06/27/2007
- Last Update Date: 11/25/2013
Medical Identifiers
Medical identifiers for Kevin Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861699563 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 12-06-101U3 (Oregon) | Secondary |
1041C0700X | Social Worker - Clinical | 4658 (Oregon) | 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. Kevin 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 |
Kevin Shaw, LCSW, CADC III 2577 Ne Courtney Dr, Bend, OR 97701-0000 Ph: (541) 322-7500 | Kevin Shaw, LCSW, CADC III 2577 Ne Courtney Dr, Bend, OR 97701-7638 Ph: (541) 322-7500 |
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