MR. JEFFREY SHAW (NPI# 1730577073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730577073 |
| Entity Type | Individual |
| Full Name | MR. JEFFREY SHAW |
| Credential | CRC, LCASA |
| Practice Address |
3098 Glen Laurel Ln Winston Salem NC 27107-4454 |
| Practice Telephone | 3362875063 |
| Mailing Telephone | 3362875063 |
| Enumeration Date | 2015-01-08 |
| Last Update Date | 2015-01-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
20257 | NC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851518955 | Jeffrey Henry Shaw | Pediatrics | 1150 Chapman Ln Unit 25, Medina, OH 44256-6714 | 2007-04-19 |
| 1033253059 | Jeffrey K. Shaw | Chiropractor | 2044 S Airport Rd W, Traverse City, MI 49684-4711 | 2007-02-16 |
| 1962593483 | Jeffrey Stephen Shaw | Psychologist | 25 Sutton Pl S Apt 17a, New York, NY 10022-2460 | 2006-09-28 |
| 1871765321 | Jeffrey S Shaw | Dentist | 3311 Glendale Blvd, Los Angeles, CA 90039-1812 | 2008-03-25 |
| 1003955964 | Jeffrey W Shaw | Chiropractor | 60 2nd St, Granby, CO 80446-0036 | 2007-02-06 |
| 1316099435 | Jeffrey Allen Shaw | Clinical Neuropsychologist | 12303 Ne 130th Ln, Sutie 325, Kirkland, WA 98034-3099 | 2007-01-17 |
| 1396768107 | Jeffrey B Shaw | Family Medicine | 935 State Route 28, Milford, OH 45150-1911 | 2006-07-25 |
| 1124083712 | Jeffrey L Shaw | Allergy & Immunology | 1821 S Webster Ave, Green Bay, WI 54301 | 2006-04-18 |
| 1114994456 | Jeffrey N Shaw | Anesthesiology | 800 E 28th St, Minneapolis, MN 55407-3723 | 2006-03-07 |
| 1326038399 | Jeffrey Gordon Shaw | Genetic Counselor, MS | 2222 N Nevada Ave, Cancer Administration, Colorado Springs, CO 80907-6831 | 2005-10-21 |
| Street Address |
3098 GLEN LAUREL LN |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27107-4454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154934727 | Sreto Duric | Physical Therapy Assistant | 3863 Robbins Brook Dr, Winston Salem, NC 27107 | 2020-08-24 |
| 1164936852 | Lindsay Webster | Physician Assistant | 10479 Nc-109, 107a, Winston Salem, NC 27107 | 2017-11-17 |
| 1447592209 | Vinson Psychological Services, Pllc | Psychologist | 4236 Sherlie Weavil Rd, Winston Salem, NC 27107 | 2013-03-20 |
| 1629212501 | Benicia Elaine Cleveland | Specialist/Technologist | 1250 S Martin Luther King Jr. Drive, Winston-salem State University, Winston-salem, NC 27107 | 2009-04-23 |
| 1083714364 | Lia Simpson Erickson | Pediatrics | 648 East Monmouth Street, Winston Salem, NC 27107 | 2006-09-25 |
| 1336242973 | North Carolina Cvs Pharmacy LLC | Pharmacy | 10478 N Nc Hwy 109, Wallburg, NC 27107 | 2006-09-07 |
| 1154816312 | Janel Rebecca Durham | Nurse Practitioner | 10479 N Nc Highway 109 Ste 107a, Winston Salem, NC 27107 | 2018-06-28 |
| 1861929523 | Southside United Health Centers | Social Worker | 3009 Waughtown St, Winston Salem, NC 27107 | 2017-05-12 |
| 1407011398 | Ashley Rose Hill | Nurse Practitioner | 648 East Monmouth Street, Winston Salem, NC 27107 | 2008-07-21 |
| 1518157247 | Ellen R. Robinson | Pediatrics | 648 East Monmouth Street, Winston Salem, NC 27107 | 2007-07-30 |
| Find all providers in zip 27107 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215566385 | Sherrie Nicole Fogg | Counselor | 215 Braeburn Dr, Winston Salem, NC 27127-4691 | 2020-04-02 |
| 1831721968 | Olivia Henderson Smith | Counselor | 1 Medical Center Blvd 5th Floor Watlington Hall, Winston Salem, NC 27157-0001 | 2020-02-06 |
| 1578110805 | Elevation Counseling Services Pllc | Counselor | 1922 S Martin Luther King Jr Dr Ste 27, Winston Salem, NC 27107-1361 | 2019-08-21 |
| 1356900898 | Kendal Simeon Brown | Counselor | 4830 Tutelo Trl, Winston Salem, NC 27127-9419 | 2019-06-09 |
| 1497216667 | Larry Lamont Joe Jr. | Counselor | 1348 Westgate Center Dr Ste 204, Winston Salem, NC 27103-2984 | 2019-03-28 |
| 1558829994 | Esther Fredrica Dixon | Counselor | 326 N Spring St, Winston Salem, NC 27101-2722 | 2019-03-05 |
| 1609383736 | Stephanie Gimenez | Counselor | 163 Stratford Ct Ste 225, Winston Salem, NC 27103-1836 | 2018-01-10 |
| 1194239665 | Brandon Andre Jevon James | Counselor | 1922 S Martin Luther King Jr Dr Ste 225, Winston Salem, NC 27107-1361 | 2017-11-20 |
| 1417484304 | Jessica Lynn Vaughn | Counselor | 3640 Westgate Center Cir Ste A, Winston Salem, NC 27103 | 2017-05-22 |
| 1316472475 | Wendy Marshall | Counselor | 5078 Leeshire Way, Winston Salem, NC 27106-1870 | 2017-04-26 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27107 |
Please comment or provide details below to improve the information on MR. JEFFREY SHAW.
| 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.