Shaw, Michelle Nicole

Shaw, Michelle Nicole is an individual health care provider with primary practice located at 790 Ridge Rd , Lackawanna NY 14218-1629. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Shaw, Michelle Nicole can be contacted via phone (716) 828-9651.

Contact Information

Primary practice address
790 Ridge Rd Lackawanna NY 14218-1629
Phone: (716) 828-9651
Fax: (716) 828-9450
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 095713 New York

Profile Details

NPI number 1295392819
LBN Legal business name Shaw, Michelle Nicole
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2019
Last updated Jan 30th, 2024 - about 2 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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