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ANDREA B. SHAW, LCSW
NPI 1083786248
Social Worker - Clinical in Troy, IL

Active since November 14, 2006
552 EDWARDSVILLE ROAD, TROY, IL 62294(618) 520-6963(618) 667-7609 Get Directions Write a Review

NPPES record last updated: January 8, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Andrea B. Shaw, Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREA B. SHAW, LCSW (NPI 1083786248) is a healthcare organization registered as a clinical in Troy, Illinois and active in the NPI registry since November 2006. The organization lists Andrea Beth Shaw, Sole Proprietor, as its authorized official.

NPPES Registry Identity

NPI1083786248
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameANDREA B. SHAW, LCSW
Location Address552 EDWARDSVILLE ROADTroy, IL 62294
Mailing AddressP.o. Box 416Troy, IL 62294 · (618) 520-6963 · Fax (618) 667-7609
Phone(618) 520-6963
Fax(618) 667-7609
Organization SubpartNo
Authorized OfficialAndrea Beth ShawSole Proprietor · (618) 520-6963
Enumeration DateNovember 14, 2006
Last NPPES UpdateJanuary 8, 2019
✔ NPI 1083786248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
552 EDWARDSVILLE ROAD, Troy, IL 62294
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrea B. Shaw, Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Andrea B. Shaw, Lcsw, which bills Medicare for the services this clinician delivers.

Clinician (1)

Andrea Shaw, LCSW
Clinical Social Worker
NPI 1851463004
PO BOX 381
Troy, IL 62294
(618) 520-6963
✔ PECOS✔ Accepts Medicare0.7 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrea B. Shaw, Lcsw's NPI number?

The NPI number for Andrea B. Shaw, Lcsw is 1083786248. It was assigned to this organization in the NPPES registry on November 14, 2006.

Where is Andrea B. Shaw, Lcsw located?

Andrea B. Shaw, Lcsw is located at 552 Edwardsville Road, Troy, IL 62294. The listed phone number is (618) 520-6963.

What is Andrea B. Shaw, Lcsw's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Andrea B. Shaw, Lcsw enrolled in Medicare?

Yes. Andrea B. Shaw, Lcsw is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Andrea B. Shaw, Lcsw?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Andrea B. Shaw, Lcsw. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Andrea B. Shaw, Lcsw was last updated on January 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.