| Doctor Name: | MS. KATHLEEN MARY SHAW |
| NPI Number: | 1164609640 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LICSW |
| License Number: | 1020303 |
| Business Practice Address: | 320 Main St West Newbury, MA - 019851420 |
| Business Phone Number: | 9783635553 |
| Business Fax Number: | 9783632435 |
| Mailing Address: | 320 Main St, P.o. Box 956 WEST NEWBURY |
| State: | MA |
| Postal Code: | 019851420 |
| Phone Number: | 9783635553 |
| Fax Number: | 9783632435 |
| NPI Enumeration Date: | 01/27/2008 |
| NPI Last Update Date: | 01/27/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 1020303 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |