Provider Demographics
NPI:1518638550
Name:SHAW, SHELIA MICHELLE (MSW, BSW)
Entity Type:Individual
Prefix:
First Name:SHELIA
Middle Name:MICHELLE
Last Name:SHAW
Suffix:
Gender:F
Credentials:MSW, BSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2210 W JODY RD # 1
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29501-2000
Mailing Address - Country:US
Mailing Address - Phone:843-601-4735
Mailing Address - Fax:
Practice Address - Street 1:1341 NORTH CASHUA DRIVE
Practice Address - Street 2:FLORENCE
Practice Address - City:FLORENCE SC
Practice Address - State:SC
Practice Address - Zip Code:29501
Practice Address - Country:US
Practice Address - Phone:843-601-4735
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-21
Last Update Date:2021-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)