Amanda Shaw, is a
Social Worker - Clinical based in Worcester, Massachusetts. Amanda Shaw is licensed to practice in Massachusetts (license number 121609) and her current practice location is
100 Grove St Ste 307, Worcester, Massachusetts. She can be reached at her office (for appointments etc.) via phone at
(978) 206-1682.
NPI number for Amanda Shaw is 1023461381 and her current mailing address is 100 Grove St Ste 307, Worcester, Massachusetts. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1023461381.
Healthcare Provider's Profile
| Full Name | Amanda Shaw |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
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| Location | 100 Grove St Ste 307, Worcester, Massachusetts |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1023461381
- Provider Enumeration Date: 07/21/2016
- Last Update Date: 07/31/2023
Medical Identifiers
Medical identifiers for Amanda Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1023461381 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 22121 (Massachusetts) | Secondary |
| 1041C0700X | Social Worker - Clinical | 121609 (Massachusetts) | Primary |
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. Amanda Shaw is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Amanda Shaw, 100 Grove St Ste 307, Worcester, MA 01605-2654 Ph: (978) 206-1682 | Amanda Shaw, 100 Grove St Ste 307, Worcester, MA 01605-2654 Ph: (978) 206-1682 |
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