KEVIN SHAW (NPI# 1861699563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861699563 |
| Entity Type | Individual |
| Full Name | KEVIN SHAW |
| Credential | LCSW, CADC III |
| Practice Address |
2577 Ne Courtney Dr Bend OR 97701-7638 |
| Mailing Address |
2577 Ne Courtney Dr Bend OR 97701-0000 |
| Practice Telephone | 5413227500 |
| Practice Fax Number | 5413227565 |
| Mailing Telephone | 5413227500 |
| Mailing Fax Number | 5413227565 |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2013-11-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
12-06-101U3 | OR | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
4658 | OR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770692550 | Kevin Michael Shaw | Chiropractor | 94 High St, Newton, NJ 07860-1721 | 2006-08-29 |
| 1639193105 | Kevin B Shaw | Counselor | 109 W 2nd St, Ottawa, KS 66067-2212 | 2006-07-27 |
| 1073009759 | Kevin Shaw | Physical Therapist | 2575 Peachtree Pkwy, Cumming, GA 30041-7559 | 2018-07-06 |
| 1851885362 | Kevin Shaw | Counselor | 2531 W Woodland Dr, Anaheim, CA 92801-2637 | 2018-06-18 |
| 1760742928 | Kevin Thomas Shaw | Hospitalist | 565 Coal Valley Rd, Jefferson Hills, PA 15025-3703 | 2012-05-22 |
| 1881865202 | Kevin Shaw | Occupational Therapist | 3101 37th Ave N, Suite A, St Petersburg, FL 33713-1509 | 2008-03-13 |
| 1659570893 | Kevin D Shaw | Acupuncturist | 2804 Grand Ave, Suite 300, Everett, WA 98201-3430 | 2007-07-17 |
| 1154520864 | Kevin Daniel Shaw | Internal Medicine | 200 W Arbor Dr, San Diego, CA 92103-9001 | 2007-07-12 |
| 1639185770 | Kevin J Shaw | Orthopaedic Surgery | 8099 Cornell Rd, Cincinnati, OH 45249-2231 | 2006-07-31 |
| 1497741862 | Kevin Matthew Shaw | Anesthesiology | 99 E River Dr, 5th Floor, East Hartford, CT 06108-3288 | 2005-09-21 |
| Street Address |
2577 NE COURTNEY DR |
| City | BEND |
| State | OR |
| Zip Code | 97701-7638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932175718 | Karen Lynn Harding | Nurse Practitioner | 2577 Ne Courtney Dr, Suite 300, Bend, OR 97701 | 2006-02-23 |
| 1093325995 | Brett Steven Cowley | Counselor | 2577 Ne Courtney Dr, Bend, OR 97701-7752 | 2020-08-05 |
| 1902414469 | Taylor L. Smith | Counselor | 2577 Ne Courtney Dr, Bend, OR 97701-7752 | 2020-07-21 |
| 1407474638 | Kerry Pitt | Counselor | 2577 Ne Courtney Dr, Bend, OR 97701-7752 | 2020-07-14 |
| 1881216547 | Angie Mae Olsen | Counselor | 2577 Ne Courtney Dr, Bend, OR 97701-7752 | 2020-05-15 |
| 1023647807 | Trent Morrell | Case Manager/Care Coordinator | 2577 Ne Courtney Dr, Bend, OR 97701-7752 | 2020-04-03 |
| 1235766510 | Richard Dean Akers | Nurse Practitioner | 2577 Ne Courtney Dr, Bend, OR 97701-7752 | 2020-03-25 |
| 1831737246 | Jodie Butler | Counselor | 2577 Ne Courtney Dr, Bend, OR 97701-7752 | 2019-12-16 |
| 1538700828 | Kolette M Schneyder | Case Manager/Care Coordinator | 2577 Ne Courtney Dr, Bend, OR 97701-7638 | 2019-10-08 |
| 1992353262 | David T.k. Warren | Counselor | 2577 Ne Courtney Dr, Bend, OR 97701-7752 | 2019-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104465525 | Andrew Kyle Burzynski | Denturist | 853 Ne 4th St., Bend, OR 97701 | 2020-01-02 |
| 1013480714 | Andrew Traut | Specialist/Technologist | Oregon State Force Lab, 2200 Ne Neff Rd Suite 202, Bend, OR 97701 | 2019-01-04 |
| 1871063917 | Calley Asbill, Nd LLC | Chiropractor | 2146 Ne 4th Street, Suite 160, Bend, OR 97701 | 2018-12-02 |
| 1902372212 | Carisa S Battin | Counselor | 361 Ne Franklin Avenue Bldg E #4, Bend, OR 97701 | 2018-10-15 |
| 1366921223 | Hillside Eye Center LLC | Ophthalmology | 625 Nw Colorado Avenue, Bend, OR 97701 | 2018-08-11 |
| 1528545514 | Kellie Michiko Kawasaki-jones | Dentist | 62968 Ob Riley Road, Suite 12, Bend, OR 97701 | 2018-07-23 |
| 1992255327 | Shelby Chiropractic | Chiropractor | 561 Ne Bellevue Dr Ste 102, Bend, OR 97701 | 2016-10-10 |
| 1144671520 | Kevin Richard Pett | Acupuncturist | 39 Nw Louisanna Ave., Hawthorn Healing Arts Center, Bend, OR 97701 | 2016-06-27 |
| 1912357500 | Sheldon Shawn Doveri | Driver | 233 Nw Revere Ave, Bend, OR 97701 | 2016-06-15 |
| 1740647411 | Anne Power | Homeopath | 2100 Ne Neff Rd Suite B, Bend, OR 97701 | 2016-01-26 |
| Find all providers in zip 97701 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942015 | Cynthia Stidd, Lcsw, LLC | Social Worker | 60831 Windsor Dr, Bend, OR 97702-9502 | 2020-11-07 |
| 1790384238 | Amy R Duryea Lcsw LLC | Social Worker | 3108 Ne Elizabeth Ct, Bend, OR 97701-7600 | 2020-10-24 |
| 1780295287 | Elizabeth Blackwood | Social Worker | 1005 Sw Disk Dr Ste 104, Bend, OR 97702-3385 | 2020-08-10 |
| 1396355889 | Xela Goodman | Social Worker | 2225 Ne Indigo Ln, Bend, OR 97701-6731 | 2020-08-09 |
| 1457975872 | Noonday Counseling and Wellness | Social Worker | 750 Charbonneau Ste 207, Bend, OR 97703-7047 | 2020-06-01 |
| 1083254676 | Nourish Lactation | Social Worker | 19334 Mohawk Rd, Bend, OR 97702-8908 | 2020-01-10 |
| 1982245734 | Hannah Wadsworth | Social Worker | 1900 Ne Division St Ste 108, Bend, OR 97701-3526 | 2019-10-02 |
| 1710528989 | Connie J Kersenbrock, Lcsw | Social Worker | 300 Se Reed Market Rd Ste 110, Bend, OR 97702-2237 | 2019-09-30 |
| 1265085625 | Rachel L Frank LLC | Social Worker | 20766 Ne Sierra Dr, Bend, OR 97701-7174 | 2019-07-24 |
| 1366008856 | Sarah Elizabeth Peterson | Social Worker | 19795 Village Office Ct, Bend, OR 97702-1922 | 2019-05-10 |
| Find all providers in BEND | ||||
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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.