IndividualActive
Jessie Shaw
NPI 1083442156 · Clinical Social Worker · Brandon, FL
Provider details
- NPI number
- 1083442156
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- ISW19208 (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(56/100 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
109 N Oakwood Ave
Brandon, FL 33510-4629
Phone: (813) 819-8704
Street-level locationGet directions
Mailing address
406 the Place Ct Apt A7
Tampa, FL 33606-3758
Registry dates
- Enumerated
- 2024-07-22
- Last updated
- 2024-07-22
- Certified
- 2024-07-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.