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NPI Code Detail

MEDICARE: ANNE W SHAW MSW,LCSW,PIP,BCD

MEDICARE:   ANNE W SHAW  MSW,LCSW,PIP,BCD
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
11041C0700XClinical Social Worker1203CAL

General Provider Information

NPI Number : 1558354381
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNE W SHAW MSW,LCSW,PIP,BCD
Provider Business Mailing Address
First Line : HILL CREST ASSOCIATES
Second Line : 6869 5TH AVE SO
City : BIRMINGHAM
State : AL
Zip : 35212-1866
Country : US
Telephone Number : 205-838-4015
Fax Number : 205-838-2073
Provider Business Practice Location Address
First Line : HILL CREST ASSOCIATES
Second Line : 6869 5TH AVE SO
City : BIRMINGHAM
State : AL
Zip : 35212-1866
Country : US
Telephone Number : 205-838-4015
Fax Number : 205-838-2073
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2005
Last Update Date : 09/14/2010

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Directions to “ ANNE W SHAW MSW,LCSW,PIP,BCD” Practice Location

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