STACEY ANN SHAW PHD CSW NPI 1780515387

NPI Information

  • NPI: 1780515387
  • Provider Name: STACEY ANN SHAW, PHD, CSW
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 8813 S REDWOOD RD STE B1
    WEST JORDAN, UT
    ZIP 84088
  • Phone: (385) 439-9823

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NPI Details

Stacey Ann Shaw, PHD, CSW is a mental health counselor in West Jordan, UT. Stacey Ann Shaw, PHD, CSW NPI is 1780515387. 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:

8813 S REDWOOD RD STE B1
WEST JORDAN, UT
ZIP 84088-272
Phone: (385) 439-9823

The enumeration date for this NPI number is 5/25/2026 and was last updated on 5/25/2026.

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
1101YM0800XCounselorMental Health7141593-3502UTAHYes

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

NPI Synchronization or Removal

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