Individual provider · Type 1 NPI

Tonya Lyn Shaw, LSW

Clinical Social Worker · Lake Villa, IL

NPI number 1083996870 Active

Practice location

121 E Grand Ave
Lake Villa, IL 60046-7829

Call (847) 377-8386 Map

Mailing address

121 E. Grand Ave.
Lake Villa, IL 60046

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	150.011040 (IL)

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 1083996870

Tonya Lyn Shaw, LSW's National Provider Identifier is 1083996870, issued on Sep 16, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lake Villa, IL. The record was last updated on Sep 16, 2011.