| Doctor Name: | KRISTA CURTIS SHAW |
| NPI Number: | 1780011817 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | C008544 |
| Business Practice Address: | 195 N Nc 41 Hwy Suite A Beulaville, NC - 285188762 |
| Business Phone Number: | 9102986207 |
| Business Fax Number: | 9102986293 |
| Mailing Address: | 628 Huffmantown Rd, RICHLANDS |
| State: | NC |
| Postal Code: | 285746214 |
| Phone Number: | 7044383384 |
| Fax Number: | 9102986293 |
| NPI Enumeration Date: | 10/03/2013 |
| NPI Last Update Date: | 10/03/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | C008544 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |