Shaw, Elizabeth Magana

Shaw, Elizabeth Magana is an individual health care provider with primary practice located at 13101 Allen Rd Ste 500 , Southgate MI 48195-2216. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Shaw, Elizabeth Magana can be contacted via phone (734) 785-7700.

Contact Information

Primary practice address
13101 Allen Rd Ste 500 Southgate MI 48195-2216
Phone: (734) 785-7700
Fax: (734) 287-1953
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 6801087916 Michigan
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801087916 Michigan
Behavioral Health & Social Service Providers / Social Worker 104100000X 6801087916 Michigan

Profile Details

NPI number 1003239963
LBN Legal business name Shaw, Elizabeth Magana
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2014
Last updated Oct 7th, 2022 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1003239963 NPPES
Michigan MEDICAID 1710286836

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