Shaw, Kimberly

Shaw, Kimberly is an individual health care provider with primary practice located at 17900 Linden Blvd , St. Albans NY 11435. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Shaw, Kimberly can be contacted via phone (718) 526-1000.

Contact Information

Primary practice address
17900 Linden Blvd St. Albans NY 11435
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 087621-1 New York
Behavioral Health & Social Service Providers / Clinical 1041C0700X 085564-1 New York

Profile Details

NPI number 1689738064
LBN Legal business name Shaw, Kimberly
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2006
Last updated Jun 15th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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