Kelly Grace Shaw, in Crownsville, MD - Medicare Social Worker Provider

Kelly Grace Shaw, is a medicare enrolled "Social Worker - Clinical" provider in Crownsville, Maryland. Her current practice location is 757 Whitneys Landing Dr, Crownsville, Maryland. You can reach out to her office (for appointments etc.) via phone at (443) 420-8073.

Kelly Grace Shaw is licensed to practice in Maryland (license number 27718) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1780231100.

Contact Information

	Kelly Grace Shaw,
	757 Whitneys Landing Dr, Crownsville, MD 21032-1113
	(443) 420-8073
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly Grace Shaw
Gender	Female
Speciality	Social Worker - Clinical
Location	757 Whitneys Landing Dr, Crownsville, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780231100
Provider Enumeration Date: 08/21/2019
Last Update Date: 04/02/2025

Medicare PECOS Information:

PECOS PAC ID: 5991229353
Enrollment ID: I20250407002313

Medical Identifiers

Medical identifiers for Kelly Grace Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780231100	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	27718 (Maryland)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelly Grace Shaw allows following entities to bill medicare on her behalf.

Entity Name	Mental Health Specialty Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801472634 PECOS PAC ID: 8921466228 Enrollment ID: O20250108000022

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Grace Shaw is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kelly Grace Shaw, 757 Whitneys Landing Dr, Crownsville, MD 21032-1113 Ph: (443) 789-4440	Kelly Grace Shaw, 757 Whitneys Landing Dr, Crownsville, MD 21032-1113 Ph: (443) 420-8073

Reviews and Comments

Social Worker in Crownsville, MD

Ms. Laurie Anne Booth Schmitt, LCSW-C Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 374 Kyle Rd, Crownsville, MD 21032 Phone: 301-938-3702
Roberta Legg, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15 Romig Dr, Crownsville, MD 21032 Phone: 410-729-2135
Mr. Mark Cameron Livingston, L.C.S.W.C. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 15 Romig Drive, Crownsville, MD 21302 Phone: 410-729-2135
Mrs. Nicole Renee Swann, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2015 Martins Grant Ct, Crownsville, MD 21032 Phone: 410-793-7784
Kesi Japera Motley-shannon, LGSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15 Romig Dr, Crownsville, MD 21032 Phone: 410-729-2135
Carolyn S Holland, M.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 384 Hemlock Trl, Crownsville, MD 21032 Phone: 410-923-3765

Kelly Grace Shaw, - Medicare Clinical Social Worker in Crownsville, MD