Shaw, Amanda

Shaw, Amanda is an individual health care provider with primary practice located at 100 Grove St Ste 307 , Worcester MA 01605-2654. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Shaw, Amanda can be contacted via phone (978) 206-1682.

Contact Information

Primary practice address
100 Grove St Ste 307 Worcester MA 01605-2654
Phone: (978) 206-1682
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 22121 Massachusetts
Behavioral Health & Social Service Providers / Clinical 1041C0700X 121609 Massachusetts

Profile Details

NPI number 1023461381
LBN Legal business name Shaw, Amanda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2016
Last updated Jul 31st, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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