| Susan L Shaw, LCSW | |
|
1205 22nd Ave, Meridian, MS 39301-4010 | |
| (601) 483-2864 | |
| Not Available |
| Full Name | Susan L Shaw |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 12 Years |
| Location | 1205 22nd Ave, Meridian, Mississippi |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225795859 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C6447 (Mississippi) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Positive Innergy Counseling Services Llc | 6204298367 | 9 |
| Entity Name | Positive Innergy Counseling Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003432626 PECOS PAC ID: 6204298367 Enrollment ID: O20230823003145 |
| Mailing Address | Practice Location Address |
|---|---|
| Susan L Shaw, LCSW 12391 Highway 491 S, Union, MS 39365-8538 Ph: (601) 513-2476 | Susan L Shaw, LCSW 1205 22nd Ave, Meridian, MS 39301-4010 Ph: (601) 483-2864 |
Kimberly Abigail Miller, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10342 Masonic Lodge Rd, Meridian, MS 39305 Phone: 601-278-5969 | |
Mrs. Frances Janeece Avera, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5000 Highway 39 N, Suite B, Meridian, MS 39301 Phone: 601-453-5376 Fax: 888-735-7202 | |
Traci Lynn Gibbs, FPMHNP-BC/LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1054 Highway 19 S, Meridian, MS 39301 Phone: 601-531-3200 Fax: 600-531-3107 | |
Mr. Richard Pryor, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2827 7th St, Meridian, MS 39301 Phone: 601-527-2890 | |
Nancy Arrington, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4940 Highway 39 N, Meridian, MS 39301 Phone: 601-483-2864 Fax: 601-483-2806 | |
Patricia Everette, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1155 Rosenbaum Ave, Building 405, Naval Air Station, Meridian, MS 39309 Phone: 601-679-3839 |