DIEDRE SHAW LICSW NPI 1275198194

NPI Information

  • NPI: 1275198194
  • Provider Name: DIEDRE SHAW, LICSW
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 330 N 48TH ST STE A
    LINCOLN, NE
    ZIP 68504
  • Phone: (402) 326-9168

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NPI Details

Diedre Shaw, LICSW is a mental health counselor in Lincoln, NE with 7 years of experience. Diedre Shaw, LICSW NPI is 1275198194. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

330 N 48TH ST STE A
LINCOLN, NE
ZIP 68504-515
Phone: (402) 326-9168
Fax: (402) 817-1172

The NPI 1275198194 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 5/6/2019 and was last updated on 11/13/2025.

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
11041C0700XSocial WorkerClinical2024NEBRASKANo
2101YM0800XCounselorMental Health3052NEBRASKAYes

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: 11/21/2025

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