Staci Shaw, LISW-S is a
Social Worker - Clinical based in Mansfield, Ohio. Staci Shaw is licensed to practice in Ohio (license number I.1500936-SUPV) and her current practice location is
775 Lexington Ave, Mansfield, Ohio. She can be reached at her office (for appointments etc.) via phone at
(419) 774-4010.
NPI number for Staci Shaw is 1255722500 and her current mailing address is 78 Mayfair Rd, Mansfield, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1255722500.
Healthcare Provider's Profile
Full Name | Staci Shaw |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 775 Lexington Ave, Mansfield, Ohio |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1255722500
- Provider Enumeration Date: 02/09/2015
- Last Update Date: 10/07/2019
Medical Identifiers
Medical identifiers for Staci Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255722500 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | S.1201024 (Ohio) | Secondary |
1041C0700X | Social Worker - Clinical | I.1500936-SUPV (Ohio) | 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. Staci 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 |
Staci Shaw, LISW-S 78 Mayfair Rd, Mansfield, OH 44904-9781 Ph: (260) 668-6404 | Staci Shaw, LISW-S 775 Lexington Ave, Mansfield, OH 44907-1906 Ph: (419) 774-4010 |
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