Individual provider · Type 1 NPI

Jessie A. Shaw

Clinical Social Worker · Brandon, FL

NPI number 1083442156 Active

Practice location

109 N Oakwood Ave
Brandon, FL 33510-4629

Mailing address

406 The Place Ct Apt A7
Tampa, FL 33606-3758

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XISW19208 (FL)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1083442156

Jessie A. Shaw's National Provider Identifier is 1083442156, issued on Jul 22, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Brandon, FL. The record was last updated on Jul 22, 2024.