JILL SHAW (NPI# 1447529938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447529938 |
| Entity Type | Individual |
| Full Name | JILL SHAW |
| Credential | LCPC |
| Practice Address |
181 Brackett St Portland ME 04102-3857 |
| Practice Telephone | 2077750105 |
| Mailing Telephone | 2077750105 |
| Enumeration Date | 2011-12-29 |
| Last Update Date | 2011-12-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
CC246 | ME | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366953721 | Jill Marie Shaw | Specialist | 1009 E. Eldorado St., Decatur, IL 62522-9023 | 2017-10-12 |
| 1083734727 | Jill Balla Shaw | Chiropractor | 38377 N Drexel Blvd, Antioch, IL 60002-9778 | 2007-03-29 |
| 1770576340 | Jill Marie Shaw | Obstetrics & Gynecology | 6564 Se Lake Rd Ste 200, Milwaukie, OR 97222-2237 | 2005-08-29 |
| 1891239760 | Jill Shaw | Specialist | 610 S Burdick St, Kalamazoo, MI 49007-5221 | 2016-12-13 |
| 1457508475 | Jill Marie Shaw | Nurse Practitioner | 356 W Cherry St, Ackerman, MS 39735-8709 | 2008-08-20 |
| 1790839355 | Jill Ann Shaw | Family Medicine | 1035 Placer St, Redding, CA 96001-1125 | 2007-01-22 |
| 1821020413 | Jill Davis Shaw | Speech-Language Pathologist | 32 Garland Dr, Jackson, TN 38305-3602 | 2006-07-06 |
| Street Address |
181 BRACKETT ST |
| City | PORTLAND |
| State | ME |
| Zip Code | 04102-3857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619183696 | Portland West Inc. | Case Management | 181 Brackett St, Portland, ME 04102-3857 | 2007-05-15 |
| 1538609664 | Christina Cook | Social Worker | 181 Brackett St, Portland, ME 04102-3857 | 2017-03-08 |
| 1124415369 | Dawn Burley | Social Worker | 181 Brackett St, Portland, ME 04102-3857 | 2015-04-24 |
| 1972900066 | Nicole Norton | Social Worker | 181 Brackett St, Portland, ME 04102-3857 | 2014-12-04 |
| 1558601112 | Teresa Marie St Peter | Counselor | 181 Brackett St, Portland, ME 04102-3857 | 2013-02-19 |
| 1710237680 | Jennifer K Stasio | Social Worker | 181 Brackett St, Portland, ME 04102-3857 | 2012-09-18 |
| 1073861803 | Matthew Langella | Social Worker | 181 Brackett St, Portland, ME 04102-3857 | 2012-08-28 |
| 1609124445 | Amber Zuchara | Case Manager/Care Coordinator | 181 Brackett St, Portland, ME 04102-3857 | 2012-08-28 |
| 1720336563 | Marie Coyle | Case Manager/Care Coordinator | 181 Brackett St, Portland, ME 04102-3857 | 2012-08-28 |
| 1568710390 | Eileen Dugan | Case Manager/Care Coordinator | 181 Brackett St, Portland, ME 04102-3857 | 2012-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720602964 | Ci Yen Joanna Man | Student in an Organized Health Care Education/Training Program | 190 Park Ave., Portland, ME 04102 | 2020-06-03 |
| 1841811338 | Abby Zarotny Sahagian | Nurse Anesthetist, Certified Registered | Mmc Anesthesia and Perioperative Medicine, 22 Bramhall St, Portland, ME 04102 | 2020-05-06 |
| 1124656863 | Zachary Bernard Tillett | Student in an Organized Health Care Education/Training Program | Maine Medical Center 22 Bramhall St., Portland, ME 04102 | 2020-03-30 |
| 1215564323 | Joshua Allen Swenson | Student in an Organized Health Care Education/Training Program | 33 Bramhall St, Portland, ME 04102 | 2020-03-26 |
| 1740776434 | Rishi Phakey | Dentist | Community Dental, 190 Park Ave, Portland, ME 04102 | 2018-07-05 |
| 1982192571 | Jessica Thomas | Doula | 619 Brighton Ave #101, Rosemont Wellness Center, Portland, ME 04102 | 2018-04-29 |
| 1699270744 | Shane D Kirkegaard | Student in an Organized Health Care Education/Training Program | Maine Medical Center 22 Bramhall Street, Portland, ME 04102 | 2018-03-29 |
| 1144752494 | Al-shawk Home Healthcare, LLC | Technician | 640 Brighton Ave Ste 8, Portland, ME 04102 | 2017-03-28 |
| 1376074674 | Samuel B Potter | Emergency Medicine | Maine Medical Center, 22 Bramhall Street, Portland, ME 04102 | 2017-03-27 |
| 1043767536 | Kevin De Ruiter | Social Worker | 129 Pine St Apt 6, Portland, ME 04102 | 2016-09-01 |
| Find all providers in zip 04102 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013373 | Ruth Tessema | Counselor | 2120 Ne 166th Dr, Portland, OR 97230-5558 | 2020-11-03 |
| 1629675582 | Michelle Robydek | Counselor | 103 Rindle Bluff Dr, Portland, MI 48875-9435 | 2020-10-05 |
| 1326656240 | Donald Marks | Counselor | 7901 Se Powell Blvd Ste B251, Portland, OR 97206-2314 | 2020-07-16 |
| 1922624782 | Marc Francis Otto | Counselor | 215 Ne 60th Ave, Portland, OR 97213-3721 | 2020-06-17 |
| 1013532183 | Monica Grace Vanek | Counselor | 4248 Ne Skidmore St, Portland, OR 97218-1753 | 2020-06-14 |
| 1427670355 | Leonore Elisabeth Licht-miller | Counselor | 1455 Sw Stephenson St, Portland, OR 97219-8222 | 2020-05-14 |
| 1821624834 | Kara Pierce | Counselor | 5640 Ne 7th Ave, Portland, OR 97211-3249 | 2020-03-21 |
| 1932746302 | Lynne Coon Counseling, LLC | Counselor | 1340 Sw Bertha Blvd Ste 202, Portland, OR 97219-2096 | 2019-12-04 |
| 1912554809 | Genevieve Pritchard | Counselor | 4150 N Williams Ave Apt 409, Portland, OR 97217-2970 | 2019-08-24 |
| 1407312465 | Jor-el Zajatz | Counselor | 12 Se 14th Ave Ste 105, Portland, OR 97214-1404 | 2019-02-14 |
| Find all providers in PORTLAND | ||||
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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.