Elsie Lee Shaw, MFT is a
Marriage & Family Therapist based in Soulsbyville, California. Elsie Lee Shaw is licensed to practice in California (license number MFT20240) and her current practice location is
16500 Cornucopia Mine Rd, Soulsbyville, California. She can be reached at her office (for appointments etc.) via phone at
(209) 928-1255.
NPI number for Elsie Lee Shaw is 1295941185 and her current mailing address is 16500 Cornucopia Mine Rd, Soulsbyville, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1295941185.
Healthcare Provider's Profile
Full Name | Elsie Lee Shaw |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 16500 Cornucopia Mine Rd, Soulsbyville, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1295941185
- Provider Enumeration Date: 05/15/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Elsie Lee Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295941185 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | MFT20240 (California) | 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. Elsie Lee 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 |
Elsie Lee Shaw, MFT 16500 Cornucopia Mine Rd, Soulsbyville, CA 95372-9766 Ph: (209) 928-1255 | Elsie Lee Shaw, MFT 16500 Cornucopia Mine Rd, Soulsbyville, CA 95372-9766 Ph: (209) 928-1255 |
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