Individual provider · Type 1 NPI

Kevin Shaw, LCSW, CADC III

Clinical Social Worker · Bend, OR

NPI number 1861699563 Active

Practice location

2577 NE Courtney Dr
Bend, OR 97701-7638

Call (541) 322-7500 Map

Fax (541) 322-7565

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X12-06-101U3 (OR)
Clinical Social Worker Primary 1041C0700X4658 (OR)

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 1861699563

Kevin Shaw, LCSW, CADC III's National Provider Identifier is 1861699563, issued on Jun 27, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bend, OR. The record was last updated on Nov 25, 2013.