MR. SIDNEY L SHAW (NPI# 1073689659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073689659 |
| Entity Type | Individual |
| Full Name | MR. SIDNEY L SHAW |
| Credential | LPC CDCF |
| Practice Address |
201 3rd Ave Suite 201 Seward AK 99664-2088 |
| Mailing Address |
500 N Higgins Ave Suite 109 Missoula MT 59802-4551 |
| Practice Telephone | 9072243490 |
| Practice Fax Number | 9072245870 |
| Mailing Telephone | 4065462363 |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2011-02-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
398 | AK | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
1456 | MT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | CL3490 | 05 |
| Street Address |
201 3RD AVE SUITE 201 |
| City | SEWARD |
| State | AK |
| Zip Code | 99664-2088 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053868471 | Matthew Phillip Nielsen | Pharmacist | 201 3rd Ave, Seward, AK 99664-2088 | 2016-09-01 |
| 1720273295 | Rebecca Ivry Moore | Physician Assistant | 201 3rd Ave, Suite 201, Seward, AK 99664 | 2007-09-07 |
| 1649477126 | Chugachmiut North Star Health Clinic Pharmacy | Pharmacy | 201 3rd Ave, Ste 201, Seward, AK 99664 | 2007-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447859566 | Benjamin David Sayers I | Behavior Technician | 508 Madison St., Seward, AK 99664 | 2020-10-20 |
| 1497373997 | Hilary Ann Acovak | Behavior Technician | 226 Brownell St., Seward, AK 99664 | 2020-07-10 |
| 1477182368 | Rebecca Snow | Behavior Technician | Seaview Community Services, 302 Railway Avenue, Seward, AK 99664 | 2020-04-03 |
| 1134764996 | Seaview Community Services | Community/Behavioral Health | 1400 Chamberlain St, Seward, AK 99664 | 2019-11-15 |
| 1811544638 | Melissa Sanders | Behavior Technician | 302 Railway, Seward, AK 99664 | 2019-08-26 |
| 1013403708 | Andra Dawn Woodard | Social Worker | 10599 Fox Cir, Seward, AK 99664 | 2018-07-05 |
| 1275020661 | Sarah Brooke Hermann | Massage Therapist | 500 Adams St. Suite 202, Seward, AK 99664 | 2018-04-20 |
| 1902352206 | Lacuna Family Medicine, Inc. | Clinic/Center | 204 4th Ave, Seward, AK 99664 | 2016-08-28 |
| 1992115893 | Carissa Whatmore | Social Worker | 302 Railway Ave., Seward, AK 99664 | 2014-04-30 |
| 1205265345 | Cora Roberts | Dental Therapist | 201 3rd Avenue, Suite 115, Seward, AK 99664 | 2013-11-08 |
| Find all providers in zip 99664 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902306822 | Kelsey E Koranda | Counselor | 217 N 1st St, Seward, NE 68434-2132 | 2018-02-16 |
| 1417290933 | Arica Dawe | Counselor | 2433 Progressive Rd, Seward, NE 68434-7644 | 2013-04-03 |
| 1356607816 | Metschke Counseling Center | Counselor | 128 N 6th St Ste F, Seward, NE 68434-2072 | 2012-04-09 |
| 1033498225 | Lorrie Linn Pearson | Counselor | 156 S 5th St, Suite 201, Seward, NE 68434-2170 | 2011-08-05 |
| 1336443043 | Joseph Micheal Hinton | Counselor | 188 2nd Ave, Seward, PA 15954-8633 | 2011-01-10 |
| 1720307580 | Carrie Leigh Gottschalk | Counselor | 2258 N 1st St, Seward, NE 68434-6016 | 2010-05-19 |
| 1841459088 | Elizabeth Arelia Odell Grace | Counselor | 302 Railway Avenue, Seward, AK 99664-1045 | 2008-06-03 |
| 1124204615 | Charles Mason Ramsey IIi | Counselor | 919 N Columbia Ave, Seward, NE 68434-1557 | 2008-01-14 |
| 1245455005 | Rachel A Nick | Counselor | 503 N 5th St, Seward, NE 68434-1829 | 2007-04-16 |
| 1306997986 | Jonathan Carl Metschke | Counselor | 510 Bradford St, Seward, NE 68434-1708 | 2007-01-12 |
| Find all providers in SEWARD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.