National Provider Identifier
Kirk David Shaw, LMHC
Kirk David Shaw, LMHC is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Rochester, NY and a listed phone number of (585) 922-8042.
Profile Overview
- NPI
- 1659528289
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- August 26, 2008
- Last Updated
- November 07, 2018
Practice Location
- 224 Alexander St
- Rochester, NY 14607-4000
Phone: (585) 922-8042
Mailing Address
- PO Box 636
- Sackets Harbor, NY 13685-0636
Specialties
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1659528289
- Entity Type
- Individual
- Last Name
- Shaw
- First Name
- Kirk
- Middle Name
- David
- Credential
- LMHC
- Mailing Street Address
- PO Box 636
- Mailing City
- Sackets Harbor
- Mailing State
- NY
- Mailing ZIP Code
- 13685-0636
- Mailing Country
- US
- Mailing Phone
- (585) 447-1322
- Practice Street Address
- 224 Alexander St
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14607-4000
- Practice Country
- US
- Practice Phone
- (585) 922-8042
- Practice Fax
- (585) 922-7225
- Enumeration Date
- August 26, 2008
- Last Updated
- November 07, 2018
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)