IndividualActive
Marlisa Shaw
NPI 1053104802 · Professional Counselor · New Haven, CT
Marlisa Shaw is a Professional Counselor provider in New Haven, CT (NPI 1053104802).
Provider details
- NPI number
- 1053104802
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 8405 (CT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
458 Grand Ave
New Haven, CT 06513-3856
Phone: (203) 752-1212
Street-level locationGet directions
Mailing address
151 Putnam St
New Haven, CT 06519-2329
Registry dates
- Enumerated
- 2025-05-26
- Last updated
- 2025-05-26
- Certified
- 2025-05-05
Frequently asked questions
- What is Marlisa Shaw's NPI number?
- Marlisa Shaw's National Provider Identifier (NPI) is 1053104802, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Marlisa Shaw's specialty?
- Marlisa Shaw is listed in the NPPES registry with a primary specialty of Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Marlisa Shaw located?
- Marlisa Shaw's practice location on file with NPPES is 458 Grand Ave, New Haven, CT 06513-3856.
- What is Marlisa Shaw's phone number?
- The practice phone number listed in the NPPES registry for Marlisa Shaw is (203) 752-1212.
- Is Marlisa Shaw's NPI active?
- Yes — Marlisa Shaw's NPI (1053104802) is active in the NPPES registry as of the last update on 2025-05-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.