| Kristen Shaw, LCSW | |
|
1443 Corporate Way, Seymour, IN 47274-3391 | |
| (812) 522-4341 | |
| Not Available |
| Full Name | Kristen Shaw |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1443 Corporate Way, Seymour, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609471051 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 34009064A (Indiana) | Primary |
| Entity Name | Centerstone Of Indiana, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992781470 PECOS PAC ID: 9436138427 Enrollment ID: O20040830000711 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristen Shaw, LCSW 645 S Rogers St, Bloomington, IN 47403-2353 Ph: (812) 339-1691 | Kristen Shaw, LCSW 1443 Corporate Way, Seymour, IN 47274-3391 Ph: (812) 522-4341 |
Megan White, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1443 Corporate Way, Seymour, IN 47274 Phone: 812-522-4341 Fax: 812-378-8367 | |
Cathy Zabel, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1443 Corporate Way, Seymour, IN 47274 Phone: 812-522-4341 Fax: 812-378-8367 | |
Deborah Loyd, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1443 Corporate Way, Seymour, IN 47274 Phone: 812-522-4341 Fax: 812-378-8367 | |
Jon C Peters, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 707 S Jackson Park Dr, Seymour, IN 47274 Phone: 812-522-2416 | |
Katherine Brumfield, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1443 Corporate Way, Seymour, IN 47274 Phone: 812-522-4341 | |
Peggy Jo Bowman, L.C.S.W Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1725 E. Tipton St., Ste 200, Seymour, IN 47274 Phone: 812-523-0386 Fax: 812-523-8416 |