| Doctor Name: | MRS. PATRICIA ANN SHAW |
| NPI Number: | 1437457298 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 6801081615 |
| Business Practice Address: | 36000 Darnell Loop Carl R. Darnell Medical Center Ft. Hood, TX - 765444752 |
| Business Phone Number: | 2542888000 |
| Business Fax Number: | |
| Mailing Address: | 3801 Willow Lake Drive, Apt. 213 KALAMAZOO |
| State: | MI |
| Postal Code: | 490082685 |
| Phone Number: | 3133330064 |
| Fax Number: | |
| NPI Enumeration Date: | 03/03/2011 |
| NPI Last Update Date: | 03/03/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 6801081615 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |