Provider Demographics
NPI:1558354381
Name:SHAW, ANNE W (MSW,LCSW,PIP,BCD)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:W
Last Name:SHAW
Suffix:
Gender:F
Credentials:MSW,LCSW,PIP,BCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HILL CREST ASSOCIATES
Mailing Address - Street 2:6869 5TH AVE SO
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35212-1866
Mailing Address - Country:US
Mailing Address - Phone:205-838-4015
Mailing Address - Fax:205-838-2073
Practice Address - Street 1:HILL CREST ASSOCIATES
Practice Address - Street 2:6869 5TH AVE SO
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35212-1866
Practice Address - Country:US
Practice Address - Phone:205-838-4015
Practice Address - Fax:205-838-2073
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-26
Last Update Date:2010-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1203C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALS25169Medicare UPIN
AL51094827SHAMedicare ID - Type Unspecified