Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PHYLLIS ANITA SHAW
Active Sole ProprietorPHYLLIS ANITA SHAW is a Clinical Social Worker healthcare provider located in RAEFORD, North Carolina. NPI 1619832821 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · RAEFORD, NC
Registration Details
- NPI Number
- 1619832821
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 19, 2025 (0.63051629539339 yrs)
- Last Updated
- Dec 29, 2025
- License
-
P021704 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
632 W PROSPECT AVERAEFORD, NC, 283762512Browse NC providers · Browse ZIP 28376
- Phone
- 9108755590
- Fax
- 9108755008
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in RAEFORD, NC
| Name | Credential | NPI |
|---|---|---|
| EDWARD CLARK | LCSW | 1235146697 |
| MRS. JENNIFER ELIZABETH GAGUZIS | LCSW | 1598089989 |
| MS. SHARON VALENTINE | P-LCSW | 1194049221 |
| AMY L BAKER | MSW, LCSW | 1619277837 |
| MRS. TAMECA D DAVIS | LCSWA | 1174868400 |
| KATIE MINARD | LCSWA | 1134537038 |
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.