MR. TONY C SHAW LCPC NPI 1730791609

NPI Information

NPI: 1730791609
Provider Name: MR. TONY C SHAW, LCPC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
102 6TH AVE NE STE B
GLEN BURNIE, MD
ZIP 21060
Phone: (410) 352-7514
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MR. Tony C Shaw, LCPC is a mental health counselor in Glen Burnie, MD. MR. Tony C Shaw, LCPC NPI is 1730791609. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

102 6TH AVE NE STE B
GLEN BURNIE, MD
ZIP 21060-869
Phone: (410) 352-7514

The enumeration date for this NPI number is 8/20/2020 and was last updated on 7/1/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	LC11938	MARYLAND	No
2	101YM0800X	Counselor	Mental Health	LC11938	MARYLAND	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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