KEVIN SHAW LCSW CADC III NPI 1861699563

NPI Information

  • NPI: 1861699563
  • Provider Name: KEVIN SHAW, LCSW, CADC III
  • Classification: Social Worker - 1041C0700X
  • Specialization: Clinical
  • Entity Type: Individual
  • Address: 2577 NE COURTNEY DR
    BEND, OR
    ZIP 97701
  • Phone: (541) 322-7500

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NPI Details

Kevin Shaw, LCSW, CADC III is a clinical social worker in Bend, OR. The provider is 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. Kevin Shaw, LCSW, CADC III NPI is 1861699563. 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:

2577 NE COURTNEY DR
BEND, OR
ZIP 97701-638
Phone: (541) 322-7500
Fax: (541) 322-7565

The enumeration date for this NPI number is 6/27/2007 and was last updated on 11/25/2013.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)12-06-101U3OREGONNo
21041C0700XSocial WorkerClinical4658OREGONYes

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: 3/30/2025

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