KIMBERLY SHAW


Address: 623 E 100 S, Salt Lake City, UT 84102-1103
Phone: 8019791351

KIMBERLY SHAW (NPI# 1821361551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821361551
Entity Type Individual
Full Name KIMBERLY SHAW
Credential CSW
Practice Address 623 E 100 S
Salt Lake City
UT 84102-1103
Mailing Address 6773 Dawn Vista Rd
West Jordan
UT 84081-3415
Practice Telephone 8019791351
Mailing Telephone 8015185620
Enumeration Date 2012-02-10
Last Update Date 2012-02-10
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
52199593502 UT Behavioral Health & Social Service Providers

Other Providers KIMBERLY SHAW

NPI Name Taxonomy Address Enumeration
1083274328 Kimberly Scott Shaw Marriage & Family Therapist 1866 Clayton Rd Ste 200, Concord, CA 94520-2505 2019-06-18
1962967828 Kimberly Shaw Specialist/Technologist 3202 Veterans Stadium Dr, Troy, AL 36082-0001 2019-02-05
1992157879 Kimberly Shaw Social Worker 18 Constitution Dr Ste 5, Bedford, NH 03110-6076 2016-07-05
1447850086 Kimberly Shaw Pharmacist 2750 W University Dr, Denton, TX 76201-1628 2020-10-30
1467854042 Kimberly C. Shaw Registered Nurse 6500 Hospital Dr, Family Medicine, Hannibal, MO 63401-6890 2014-09-25
1578963302 Kimberly Neibaur Shaw Counselor 12040 98th Ave Ne, Suite 204, Kirkland, WA 98034-4290 2014-08-29
1205116431 Kimberly Ann Shaw Developmental Therapist 100 Erdman Way, Leominster, MA 01453-1804 2011-08-19
1124307061 Kimberly Marie Shaw Pharmacist 7909 S Hardy Dr, Tempe, AZ 85284-1112 2011-08-09
1942454186 Kimberly Danielle Shaw Physician Assistant 3201 S Wallace St, Chicago, IL 60616-3501 2008-11-14
1689738064 Kimberly Shaw Social Worker 17900 Linden Blvd, St. Albans, NY 11435 2006-12-20

Office Location

Street Address 623 E 100 S
City SALT LAKE CITY
State UT
Zip Code 84102-1103

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942818604 Wendy Vazquez Behavior Technician 515 S 700 E Suit 2a, Salt Lake City, UT 84102 2020-07-20
1407481245 Odyssey House Inc Family Medicine 743 E 300 S, Salt Lake City, UT 84102 2020-03-11
1093359960 Hayle Mayer Behavior Technician 515 S 700 E Salt Lake City, Suite 2a, Salt Lake, UT 84102 2019-11-04
1326680869 Ronald Mcdonald House of The Intermountain Area Meals 935 E. South Temple, Salt Lake City, UT 84102 2019-10-16
1508419581 Claire Pemberton Behavior Technician 327 E 1300 S, Apt 2, Salt Lake City, UT 84102 2019-07-19
1558923144 Olivia Anne Hardwick Social Worker Transitions At Slrmc, 86 S. 1100 E. Suite 404, Salt Lake City, UT 84102 2019-07-03
1649741802 Colten Vancampen Behavior Technician 515 S 700 E #2a, Salt Lake City, UT 84102 2018-12-16
1457847964 Utah Podiatry Group PC Podiatrist 24 S 1100 E Ste 120, Salt Lake City, UT 84102 2018-07-09
1104311661 Malorey Kooyman Behavior Technician 515 700 East, Suite 2a, Salt Lake City, UT 84102 2018-06-27
1700384930 Utah Podiatry Group PC Podiatrist 82 S 1100 E Ste 301, Salt Lake City, UT 84102 2018-01-23
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922606763 Eric Jeffrey Hales Social Worker 352 S Denver St Ste 350, Salt Lake City, UT 84111-3059 2020-10-14
1700490067 Open Arms Youth and Adult Services Social Worker 3007 S West Temple Ste J, Salt Lake City, UT 84115-6701 2020-09-03
1275147019 Libby Rae Hughes Social Worker 1170 S Foothill Dr Apt 323, Salt Lake City, UT 84108-1955 2020-08-31
1881206910 Christine Madden Social Worker 699 E South Temple Ste 300a, Salt Lake City, UT 84102-1188 2020-08-19
1003428566 Laura Marie Baumgart Social Worker 1390 S 1100 E Ste 204, Salt Lake City, UT 84105-2463 2020-08-17
1851901193 Angelique Colemere Social Worker 1399 S 700 E Ste 16, Salt Lake City, UT 84105-2170 2020-08-02
1871102095 Aimee Hadfield Social Worker Hearten House, 314 W. Broadway #222, Salt Lake City, UT 84109 2020-07-23
1619586856 Layne Gerry Daybell Social Worker 136 E South Temple, Salt Lake City, UT 84111-1180 2020-07-23
1043829328 Christopher Wesley Pace Social Worker 2000 Circle of Hope Dr Rm 2840, Salt Lake City, UT 84112-5550 2020-07-23
1962028795 Amy Lynn Horyna Social Worker 1950 Circle of Hope Dr Rm 2935, Salt Lake City, UT 84112-5500 2020-06-17
Find all providers in SALT LAKE CITY

Competitor

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City SALT LAKE CITY
Zip Code 84102

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Dataset Information

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.

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