Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACK WILLIAM SHAW, ED.D., LMHC
ActiveDR. JACK WILLIAM SHAW, ED.D., LMHC is a Mental Health Counselor healthcare provider located in ST PETERSBURG, Florida. NPI 1124623319 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · ST PETERSBURG, FL
Registration Details
- NPI Number
- 1124623319
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 3, 2020 (5.6688876528397 yrs)
- Last Updated
- Nov 2, 2022
- Licenses
-
MCAP100243 (FL)MH21197 (FL)
Practice Information
- Address
-
1735 DR MLK JR STREET SOUTHST PETERSBURG, FL, 337052547Browse FL providers · Browse ZIP 33705
- Phone
- 7275020188
- Primary Specialty
-
Mental Health Counselor
101YM0800X
- Additional Specialty
- Mental Health Counselor
Other Mental Health Counselor Providers in ST PETERSBURG, FL
| Name | Credential | NPI |
|---|---|---|
| MRS. MIRIAM ASMAR BUNTON | LCSW | 1215927041 |
| DR. CHRISTINA J. GONZALEZ | LMHC | 1114903069 |
| MRS. DEBORAH K LEWIS | LCSW | 1235194564 |
| DR. SUZANNE PFUND PERSONS | PH.D. | 1487604351 |
| DR. LINDSAY EDWARD WILSON | PHD | 1376574095 |
| LORE CALDWELL | LCMH | 1770517153 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.