National Provider Identifier
Michelle Nicole Shaw, LCSW
Michelle Nicole Shaw, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Lackawanna, NY and a listed phone number of (716) 828-9651.
Profile Overview
- NPI
- 1295392819
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- May 20, 2019
- Last Updated
- January 30, 2024
Practice Location
- 790 Ridge RD
- Lackawanna, NY 14218-1629
Phone: (716) 828-9651
Mailing Address
- 430 Niagara St
- Buffalo, NY 14201-1886
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1295392819
- Entity Type
- Individual
- Last Name
- Shaw
- First Name
- Michelle
- Middle Name
- Nicole
- Credential
- LCSW
- Mailing Street Address
- 430 Niagara St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14201-1886
- Mailing Country
- US
- Mailing Phone
- (716) 853-1335
- Mailing Fax
- (716) 853-1598
- Practice Street Address
- 790 Ridge RD
- Practice City
- Lackawanna
- Practice State
- NY
- Practice ZIP Code
- 14218-1629
- Practice Country
- US
- Practice Phone
- (716) 828-9651
- Practice Fax
- (716) 828-9450
- Enumeration Date
- May 20, 2019
- Last Updated
- January 30, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- January 30, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)