IndividualActive
Corella Shaw
NPI 1619993136 · Counselor · Conway, SC
Corella Shaw is a Counselor provider in Conway, SC (NPI 1619993136).
Provider details
- NPI number
- 1619993136
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- 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
68 Ivory Dr
Kingstree, SC 29556-7048
Registry dates
- Enumerated
- 2006-07-15
- Last updated
- 2007-07-08
Frequently asked questions
- What is Corella Shaw's NPI number?
- Corella Shaw's National Provider Identifier (NPI) is 1619993136, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Corella Shaw's specialty?
- Corella Shaw is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).
- Where is Corella Shaw located?
- Corella Shaw's practice location on file with NPPES is 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903.
- What is Corella Shaw's phone number?
- The practice phone number listed in the NPPES registry for Corella Shaw is (843) 347-5060.
- Is Corella Shaw's NPI active?
- Yes — Corella Shaw's NPI (1619993136) 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.