| Doctor Name: | MS. SANDRA C SHAW |
| NPI Number: | 1093750192 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.C.S.W./A.C.S.W. |
| License Number: | LCS# 10881 |
| Business Practice Address: | 7777 Greenback Ln Citrus Heights, CA - 956105800 |
| Business Phone Number: | 9169670778 |
| Business Fax Number: | 9167265195 |
| Mailing Address: | 820 Cherry Ln, DAVIS |
| State: | CA |
| Postal Code: | 956161701 |
| Phone Number: | 9169670778 |
| Fax Number: | 9167265195 |
| NPI Enumeration Date: | 06/20/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | LCS# 10881 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |