Casey Vanessa Shaw
Mental Health
178 Walworth St
Brooklyn
, New York 11205-3912
Casey Vanessa Shaw
Mental Health
178 Walworth St
Brooklyn
, New York 11205-3912
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About
Features
Specialties
- Mental Health
Languages spoken
- English
Location
First Address
- Casey Vanessa Shaw
- 178 Walworth St
- Brooklyn, NY
- Zip : 11205-3912
- Phone :
Second Address
- Casey Vanessa Shaw
- 178 Walworth St
- Brooklyn, NY
- Zip : 11205-3912
- Phone : (631) 942-5021
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FAQs
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In what state does Casey Vanessa Shaw practice in?
Where is Casey Vanessa Shaw ’s practice located?
What is Casey Vanessa Shaw ’s gender?
Is Casey Vanessa Shaw a sole practitioner?
Is Casey Vanessa Shaw accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XM0800X | Mental Health |
National Provider Identifier
| NPI | 1376126011 |
|---|---|
| Provider Name | Casey Vanessa Shaw |
| First Address | Brooklyn, NY 11205-3912 |
| Second Address | Brooklyn, NY 11205-3912 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/04/2021 |
| Last Update Date | 30/04/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.