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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ELYSSA LORRAINE SHAW, ASW11761

Active

ELYSSA LORRAINE SHAW, ASW11761 is a Clinical Social Worker healthcare provider located in GRAND TERRACE, California. NPI 1821800111 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · GRAND TERRACE, CA

Registration Details

NPI Number
1821800111
Provider Type
Individual
Gender
Female
NPI Issued
Jan 23, 2025 (1.5298673760741 yrs)
Last Updated
Jan 23, 2025
Licenses
ASW11761 (CA)
ASW11761

Practice Information

Address
21810 MAIN ST
GRAND TERRACE, CA, 923135810
Browse CA providers · Browse ZIP 92313
Phone
9095805006
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in GRAND TERRACE, CA

Name Credential NPI
MRS. NICOLE LAVONNE ARKADIE 1184822868
CRYSTAL PAULINE CASTILLO 1841503117
MRS. GRACIELA RAYA WANGSNES 1699115683
CYNTHIA LUDI 1528483336
KALISHA KORAN BROWN LCSW 1396307070
CHARLES OHAERI SR. 1952923385
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.