IndividualActive
Andrea Shaw, LCSW
NPI 1851463004 · Clinical Social Worker · Troy, IL
Provider details
- NPI number
- 1851463004
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- 149011548 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
Po Box 381
Troy, IL 62294-0381
Phone: (618) 520-6963
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 381
Troy, IL 62294-0381
Registry dates
- Enumerated
- 2006-11-14
- Last updated
- 2025-11-06
- Certified
- 2025-11-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.