Individual provider · Type 1 NPI

Phyllis Anita Shaw

Clinical Social Worker · Raeford, NC

NPI number 1619832821 Active

Practice location

632 W Prospect Ave
Raeford, NC 28376-2512

Call (910) 875-5590 Map

Fax (910) 875-5008

Mailing address

PO Box 2062
Raeford, NC 28376-4062

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XP021704 (NC)

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 1619832821

Phyllis Anita Shaw's National Provider Identifier is 1619832821, issued on Dec 19, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Raeford, NC. The record was last updated on Dec 29, 2025.