IndividualActive
Willie Shaw, ED.S. MA
NPI 1073535217 · Counselor · Conway, SC
Willie Shaw, ED.S. MA is a Counselor provider in Conway, SC (NPI 1073535217).
Provider details
- NPI number
- 1073535217
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Credential
- ED.S. MA
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
83% 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
164 Waccamaw Medical Park Dr
Conway, SC 29526-8903
Phone: (843) 347-5060
Street-level locationGet directions
Mailing address
1425 Teague Rd Apt 507
Myrtle Beach, SC 29577-6359
Registry dates
- Enumerated
- 2006-07-24
- Last updated
- 2007-07-08
Frequently asked questions
- What is Willie Shaw's NPI number?
- Willie Shaw's National Provider Identifier (NPI) is 1073535217, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Willie Shaw's specialty?
- Willie Shaw is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).
- Where is Willie Shaw located?
- Willie Shaw's practice location on file with NPPES is 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903.
- What is Willie Shaw's phone number?
- The practice phone number listed in the NPPES registry for Willie Shaw is (843) 347-5060.
- Is Willie Shaw's NPI active?
- Yes — Willie Shaw's NPI (1073535217) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.