MEDICARE: DR. SIDNEY L SHAW LCPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	398	AK
2	101YP2500X	Professional Counselor	1456	MT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073689659
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SIDNEY L SHAW LCPC

Provider Business Mailing Address
First Line	:	725 SW HIGGINS AVE STE B
Second Line	:
City	:	MISSOULA
State	:	MT
Zip	:	59803-1420
Country	:	US
Telephone Number	:	406-203-2150
Fax Number	:

Provider Business Practice Location Address
First Line	:	725 SW HIGGINS AVE STE B
Second Line	:
City	:	MISSOULA
State	:	MT
Zip	:	59803-1420
Country	:	US
Telephone Number	:	406-203-2150
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/27/2006
Last Update Date	:	10/04/2022

Similar Medicare Providers

1821072885 — MS. SHERILYN DIANE ROSSITER LCPC
Practice Location Address:

725 SW HIGGINS AVE STE B
MISSOULA, MT
59803-1420

Practice Phone: 406-544-6182
Practice Fax: 406-258-0676

1972993319 — EMILY CHRISTINE ANDERSON MA, LCPC, LAC
Practice Location Address:

725 SW HIGGINS AVE STE B
MISSOULA, MT
59803-1420

Practice Phone: 406-298-5181
Practice Fax:

1497209514 — KATELYN MOORE ARMSTRONG MA, LCPC
Practice Location Address:

725 SW HIGGINS AVE STE B
MISSOULA, MT
59803-1420

Practice Phone: 406-396-5383
Practice Fax:

1306301601 — 406 PHYSICAL THERAPY
Practice Location Address:

725 SW HIGGINS AVE STE D
MISSOULA, MT
59803-1420

Practice Phone: 406-493-0877
Practice Fax: 406-493-0649

1447899133 — JOY ANNE GRAHAM LCPC
Practice Location Address:

725 SW HIGGINS AVE STE D
MISSOULA, MT
59803-1420

Practice Phone: 406-924-3445
Practice Fax:

1982378238 — DR. CLAIRE EILEEN THRALLS PMHNP
Practice Location Address:

725 SW HIGGINS AVE STE D
MISSOULA, MT
59803-1420

Practice Phone: 406-207-7442
Practice Fax:

Directions to “ DR. SIDNEY L SHAW LCPC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.