Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARY GREY SHAGINAW
NPI 1205713617
Social Worker - Clinical in Melbourne, FL

Active since August 18, 2025
6769 N WICKHAM RD STE B101, MELBOURNE, FL 32940(321) 321-1490 Get Directions Write a Review

NPPES record last updated: August 27, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Mary Grey Shaginaw NPPES

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

MARY GREY SHAGINAW (NPI 1205713617) is an individual clinical provider in Melbourne, Florida and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1205713617
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARY GREY SHAGINAW
Location Address6769 N WICKHAM RD STE B101Melbourne, FL 32940-2048
Mailing Address820 N Atlantic Ave Apt A101Cocoa Beach, FL 32931-3138 · (770) 549-7041
Sole ProprietorNo
Enumeration DateAugust 18, 2025
Last NPPES UpdateAugust 27, 2026
NPPES CertifiedAugust 27, 2026
NPI 1205713617 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.
6769 N WICKHAM RD STE B101, Melbourne, FL 32940

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
6769 N WICKHAM RD STE B101
MELBOURNE, FL 32940
Counselor (Mental Health)
6769 N WICKHAM RD STE B101
MELBOURNE, FL 32940
Counselor (Mental Health)
6769 N WICKHAM RD STE B101
MELBOURNE, FL 32940
Social Worker (Clinical)
6769 N WICKHAM RD STE B101
MELBOURNE, FL 32940
Social Worker (Clinical)
6769 N WICKHAM RD STE B101
MELBOURNE, FL 32940
Counselor (Mental Health)
6769 N WICKHAM RD STE B101
MELBOURNE, FL 32940
Counselor (Mental Health)
6769 N WICKHAM RD STE B101
MELBOURNE, FL 32940
Social Worker (Clinical)
6769 N WICKHAM RD STE B101
MELBOURNE, FL 32940

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 Mary Grey Shaginaw's NPI number?

The NPI number for Mary Grey Shaginaw is 1205713617. It was assigned to this individual provider in the NPPES registry on August 18, 2025.

Where is Mary Grey Shaginaw located?

Mary Grey Shaginaw practices at 6769 N Wickham Rd Ste B101, Melbourne, FL 32940. The listed phone number is (321) 321-1490.

What is Mary Grey Shaginaw's specialty?

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

When was this NPI record last updated?

The NPPES record for Mary Grey Shaginaw was last updated on August 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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.