MR. SIDNEY L SHAW LPC CDCF NPI 1073689659

NPI Information

NPI: 1073689659
Provider Name: MR. SIDNEY L SHAW, LPC CDCF
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
201 3RD AVE
SUITE 201
SEWARD, AK
ZIP 99664
Phone: (907) 224-3490
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MR. Sidney L Shaw, LPC CDCF is a mental health counselor in Seward, AK. MR. Sidney L Shaw, LPC CDCF NPI is 1073689659. 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:

201 3RD AVE
SUITE 201
SEWARD, AK
ZIP 99664-088
Phone: (907) 224-3490
Fax: (907) 224-5870

The enumeration date for this NPI number is 11/27/2006 and was last updated on 2/17/2011.

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	101YP2500X	Counselor	Professional	1456	MONTANA	No
2	101YM0800X	Counselor	Mental Health	398	ALASKA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	CL3490	MEDICAID	ALASKA

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: 11/14/2023

NPI Synchronization or Removal

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