OrganizationActive
Andrea B. Shaw, Lcsw
NPI 1083786248 · Clinical Social Worker · Troy, IL
Provider details
- NPI number
- 1083786248
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Andrea Shaw, Sole Proprietor(618) 520-6963
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
552 Edwardsville Road
Troy, IL 62294
Phone: (618) 520-6963
Fax: (618) 667-7609
Approximate (ZIP-level) locationGet directions
Mailing address
P.o. Box 416
Troy, IL 62294
Registry dates
- Enumerated
- 2006-11-14
- Last updated
- 2019-01-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.