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MICHELLE NICOLE SHAW LCSW
NPI 1295392819
Social Worker - Clinical in Lackawanna, NY

Active since May 20, 2019PECOS Enrolled
790 RIDGE RD, LACKAWANNA, NY 14218(716) 828-9651(716) 828-9450 Get Directions Write a Review

NPPES record last updated: January 30, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 5, 2024, May 20, 2019 (2 updates tracked since 2019).

About Michelle Nicole Shaw Lcsw NPPES

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

MICHELLE NICOLE SHAW LCSW (NPI 1295392819) is an individual clinical provider in Lackawanna, New York, licensed in New York (095713) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295392819
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMICHELLE NICOLE SHAWCredential: LCSW
Location Address790 RIDGE RDLackawanna, NY 14218-1629
Mailing Address430 Niagara StBuffalo, NY 14201-1886 · (716) 853-1335 · Fax (716) 853-1598
Phone(716) 828-9651
Fax(716) 828-9450
Sole ProprietorNo
Enumeration DateMay 20, 2019
Last NPPES UpdateJanuary 30, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2024
✔ NPI 1295392819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · 095713
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.
790 RIDGE RD, Lackawanna, NY 14218
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Michelle Shaw reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Baker Hall
Same address
Day Training, Developmentally Disabled Services
790 RIDGE RD
Lackawanna, NY 14218
  • Reassigned Medicare billing, New York enrollment
  • 10 clinicians in this Medicare group
NPI 1669695391 (716) 828-9700

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14218 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.87 – $166.88
Typical copayment $0.00 (range $13.71 – $41.72)
Most-billed visit code NA
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

MISS ASHLEY M KRUPSKI
Dental Hygienist
790 RIDGE RD
LACKAWANNA, NY 14218
Erie County (716) 828-9334
BIRGIT RUDY SERVICE COORDINATOR
Case Manager/Care Coordinator
790 RIDGE RD
LACKAWANNA, NY 14218
Erie County (716) 828-7544
JESSICA DIETEMAN LMHC
Counselor (Mental Health)
790 RIDGE RD
LACKAWANNA, NY 14218
Erie County (716) 828-9651
MRS. MELANIE FETZER RDH
Dental Hygienist
790 RIDGE RD
LACKAWANNA, NY 14218
Erie County (716) 828-9348
GEORGE MILLER
Community Health Worker
790 RIDGE RD
LACKAWANNA, NY 14218
Erie County (716) 828-7535
MS. ANDREA L SELLAN RDH
Dental Hygienist
790 RIDGE RD
LACKAWANNA, NY 14218
Erie County (716) 828-9334
DENEEN M GARLOCK FAMILY PEER SUPPORT
Community Health Worker
790 RIDGE RD
LACKAWANNA, NY 14218
Erie County (716) 364-7015
BAKER VICTORY SERVICES
Community Based Residential Treatment Facility, Mental Illness
790 RIDGE RD
LACKAWANNA, NY 14218
Erie County (716) 828-9811

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 Michelle Shaw's NPI number?

The NPI number for Michelle Shaw is 1295392819. It was assigned to this individual provider in the NPPES registry on May 20, 2019.

Where is Michelle Shaw located?

Michelle Shaw practices at 790 Ridge Rd, Lackawanna, NY 14218. The listed phone number is (716) 828-9651.

What is Michelle Shaw's specialty?

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

Is Michelle Shaw enrolled in Medicare?

Yes. Michelle Shaw is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Michelle Shaw's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Shaw reassigns Medicare benefits to Baker Hall (Lackawanna, NY). The 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 Michelle Shaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michelle Shaw was last updated on January 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.