Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACIE SHAW
Active Sole ProprietorJACIE SHAW is a Clinical Social Worker healthcare provider located in PORTLAND, Maine. NPI 1407162779 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · PORTLAND, ME
Registration Details
- NPI Number
- 1407162779
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 25, 2010 (15.987473468783 yrs)
- Last Updated
- Aug 25, 2010
- License
-
MC12587 (ME)
- Sole Proprietor
- Yes
Practice Information
- Address
-
60 BUCA RUNPORTLAND, ME, 041031427Browse ME providers · Browse ZIP 04103
- Phone
- 2046242464
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in PORTLAND, ME
| Name | Credential | NPI |
|---|---|---|
| MS. LESLIE ABRONS | LCSW | 1295726180 |
| MR. CHARLES VANAMEE | LCSW | 1164413068 |
| MR. KEN E RAFFEL | LCSW | 1952392847 |
| MS. CLAIRE OPPENHEIM | LCSW | 1538150438 |
| ELLEN GURNEY | LCSW | 1033196340 |
| MS. KRISTIN M SHULMAN | LCSW | 1902875750 |
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.