Provider Demographics
NPI:1225148513
Name:SHAW, NORI KATHLEEN (MSW)
Entity Type:Individual
Prefix:MS
First Name:NORI
Middle Name:KATHLEEN
Last Name:SHAW
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:NORI
Other - Middle Name:KATHLEEN
Other - Last Name:JEWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3440 N LYNFORD PL
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85749
Mailing Address - Country:US
Mailing Address - Phone:520-990-8818
Mailing Address - Fax:520-749-8801
Practice Address - Street 1:5546 E 4TH ST
Practice Address - Street 2:STE 108
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85711
Practice Address - Country:US
Practice Address - Phone:520-990-8818
Practice Address - Fax:520-749-8801
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLCSW1201104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker