ELIZABETH SHAW (NPI# 1326686643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326686643 |
| Entity Type | Individual |
| Full Name | ELIZABETH SHAW |
| Credential | LCSW |
| Practice Address |
409 Old Boring Ln Woodstock GA 30189-2495 |
| Mailing Address |
3479 Hill Forest Trl Nw Acworth GA 30101-4488 |
| Practice Telephone | 7709287300 |
| Mailing Telephone | 6786413870 |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2019-12-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
MSW006660 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911289 | Elizabeth Shaw | Naturopath | 255 S Kyrene Rd Unit 122, Chandler, AZ 85226-4458 | 2020-10-27 |
| 1093208688 | Elizabeth Rachel Shaw | Social Worker | 2761 Nw 119th Ave, Plantation, FL 33323-1749 | 2018-06-08 |
| 1467961185 | Elizabeth Shaw | Social Worker | 726 Adams St Apt A, New Orleans, LA 70118-3907 | 2017-09-26 |
| 1922543339 | Elizabeth Shaw | Massage Therapist | 196 Ford St, Highland Park, MI 48203-3043 | 2016-12-21 |
| 1710331178 | Elizabeth Shaw | Registered Nurse | 529 Main St Ste 220, Charlestown, MA 02129-1125 | 2016-04-21 |
| 1598126419 | Elizabeth Shaw | Dietitian, Registered | 12335 Fronsac St, San Diego, CA 92131-1510 | 2016-03-20 |
| 1144560061 | Elizabeth Shaw | Physical Therapist | 204 Schwartz Rd, Colville, WA 99114-9278 | 2013-03-01 |
| 1003121583 | Elizabeth Ivy Shaw | Speech-Language Pathologist | 900 Pelham Pkwy S, Bronx, NY 10462-1100 | 2010-08-09 |
| 1225272537 | Elizabeth E Shaw | Dentist | 10502 11th Ave Ne, Seattle, WA 98125-7506 | 2009-04-30 |
| 1720060627 | Elizabeth A. Shaw | Psychologist | 112 Swift Ave, Durham, NC 27705-4883 | 2005-11-16 |
| Street Address |
409 OLD BORING LN |
| City | WOODSTOCK |
| State | GA |
| Zip Code | 30189-2495 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285961466 | Cherokee Center for Change, Inc | Counselor | 409 Old Boring Ln, Woodstock, GA 30189-2495 | 2009-11-10 |
| 1376939256 | Jodi Giuliano | Counselor | 409 Old Boring Ln, Woodstock, GA 30189-2495 | 2015-04-08 |
| 1053709444 | Lily Gaylor Moore-coll | Counselor | 409 Old Boring Ln, Woodstock, GA 30189-2495 | 2015-01-07 |
| 1740629278 | Stephanie Handley Borrillo | Social Worker | 409 Old Boring Ln, Woodstock, GA 30189-2495 | 2013-06-18 |
| 1205106085 | Jerry Wayne Cox | Counselor | 409 Old Boring Ln, Woodstock, GA 30189-2495 | 2012-01-10 |
| 1528341930 | Alicia Gibson Davis | Counselor | 409 Old Boring Ln, Woodstock, GA 30189-2495 | 2011-09-21 |
| 1780988733 | Catalina Laurenzano | Counselor | 409 Old Boring Ln, Woodstock, GA 30189-2495 | 2011-01-05 |
| 1427374255 | Ita G. Dore | Counselor | 409 Old Boring Ln, Woodstock, GA 30189-2495 | 2010-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494356 | Susan Iruku | Pharmacist | 12050 Ga-92 #112, Woodstock, GA 30189 | 2020-10-15 |
| 1598267437 | Kelly Sierra | Nurse Practitioner | 100 Stoneforest Dr Ste 300, Woodstock, GA 30189 | 2018-03-07 |
| 1548770449 | Chandra Johnson | Nurse Practitioner | 295 Molly Lane Ste 150, Woodstock, GA 30189 | 2017-10-05 |
| 1083133912 | Amanda Bostock Sowisdral | Physician Assistant | 250 Parkbrooke Pl Ste 300, Woodstock, GA 30189 | 2017-09-12 |
| 1780101659 | Laura C Koch Woodstock LLC Dba Fountain View Dentistry | Dentist | 1816 Eagle Drive, Building 200-a, Woodstock, GA 30189 | 2017-08-23 |
| 1265954788 | Vicky Morton Bryan | Nurse Practitioner | 422 Sycamore Trail, Woodstock, GA 30189 | 2017-07-17 |
| 1063933588 | Marietta Eye Clinic, Pa | Optometrist | 2990 Eagle Dr Ste 110, Woodstock, GA 30189 | 2017-07-06 |
| 1275914749 | Nrup Tolat | Podiatrist | 100 Stoneforest Dr Ste 120, Woodstock, GA 30189 | 2015-06-10 |
| 1558781534 | Mary Jansson Carmon | Nurse Practitioner | 1000 Towne Lake Pkwy, Woodstock, GA 30189 | 2014-04-17 |
| 1518388941 | Afc Physicians of Georgia, PC | General Practice | 6440 Bells Ferry Rd, Woodstock, GA 30189 | 2014-01-03 |
| Find all providers in zip 30189 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891289096 | Nakeda Nettles | Social Worker | 74 Shirley Rd, Woodstock, AL 35188-4365 | 2018-06-20 |
| 1619469327 | Jennifer Marie Renick | Social Worker | 5208 Michaels Way, Woodstock, GA 30188-4675 | 2018-05-30 |
| 1740770684 | Mpd Consulting, Inc | Social Worker | 4595 Towne Lake Pkwy Ste 250, Woodstock, GA 30189-5514 | 2018-05-16 |
| 1194262493 | Daniel Lombardi | Social Worker | 59 Oak Dr, Woodstock, CT 06282 | 2017-01-24 |
| 1215392147 | Tlb Counseling Ltd | Social Worker | 134 Cass St, B, Woodstock, IL 60098-3208 | 2015-12-18 |
| 1891185773 | Amy Tures | Social Worker | 720 W Judd St, Woodstock, IL 60098-3137 | 2015-01-29 |
| 1184036949 | Donna Fischer | Social Worker | 1401 Savanna Ln, Woodstock, IL 60098-3674 | 2014-05-28 |
| 1194148510 | Valerie Linet | Social Worker | 15 Pine Grove Street, Woodstock Therapy Center, Woodstock, NY 12498 | 2014-01-22 |
| 1245580125 | Sherrie Delaine Sperling | Social Worker | 115 Susobell Pl, Woodstock, GA 30188-5103 | 2012-09-18 |
| 1831447440 | Carla Peltier | Social Worker | 101 South Jefferson Street, Woodstock, IL 60098 | 2012-08-29 |
| Find all providers in WOODSTOCK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.