Mrs Gwen Shaw, MSSW LCSW is a
Social Worker - Clinical based in Lubbock, Texas. Mrs Gwen Shaw is licensed to practice in Texas (license number 00989) and her current practice location is
3515 22nd St, Lubbock, Texas. She can be reached at her office (for appointments etc.) via phone at
(806) 799-8830.
NPI number for Mrs Gwen Shaw is 1619902160 and her current mailing address is 3515 22nd St, Lubbock, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619902160.
Healthcare Provider's Profile
Full Name | Mrs Gwen Shaw |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 3515 22nd St, Lubbock, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1619902160
- Provider Enumeration Date: 07/12/2006
- Last Update Date: 05/06/2009
Medical Identifiers
Medical identifiers for Mrs Gwen Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619902160 | NPI | - | NPPES |
119740203 | Medicaid | TX | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | 002503 (Texas) | Secondary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 4952 (Texas) | Secondary |
1041C0700X | Social Worker - Clinical | 00989 (Texas) | 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. Mrs Gwen 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 |
Mrs Gwen Shaw, MSSW LCSW 3515 22nd St, Lubbock, TX 79410-1307 Ph: (806) 799-8830 | Mrs Gwen Shaw, MSSW LCSW 3515 22nd St, Lubbock, TX 79410-1307 Ph: (806) 799-8830 |
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