MATTIE LYNN SHAW MS
NPI 1376112342
Counselor - Mental Health in Tampa, FL

Active since June 23, 2021
5707 N 22ND ST, TAMPA, FL 33610(813) 239-8069 Get Directions Write a Review

NPPES record last updated: June 23, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mattie Lynn Shaw Ms NPPES

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

MATTIE LYNN SHAW MS (NPI 1376112342) is an individual mental health provider in Tampa, Florida and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1376112342
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMATTIE LYNN SHAWCredential: MS
Location Address5707 N 22ND STTampa, FL 33610-4350
Mailing Address5707 N 22nd StTampa, FL 33610-4350 · (813) 239-8069 · Fax (813) 231-7324
Sole ProprietorYes
Enumeration DateJune 23, 2021
NPPES CertifiedJune 23, 2021
NPI 1376112342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
5707 N 22ND ST, Tampa, FL 33610

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.

Social Worker (Clinical)
5707 N 22ND ST
TAMPA, FL 33610
Social Worker
5707 N 22ND ST
TAMPA, FL 33610
Social Worker
5707 N 22ND ST
TAMPA, FL 33610
Social Worker
5707 N 22ND ST
TAMPA, FL 33610
Social Worker
5707 N 22ND ST
TAMPA, FL 33610
Social Worker
5707 N 22ND ST
TAMPA, FL 33610
Community Health Worker
5707 N 22ND ST
TAMPA, FL 33610
Social Worker
5707 N 22ND ST
TAMPA, FL 33610

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 Mattie Shaw's NPI number?

The NPI number for Mattie Shaw is 1376112342. It was assigned to this individual provider in the NPPES registry on June 23, 2021.

Where is Mattie Shaw located?

Mattie Shaw practices at 5707 N 22nd St, Tampa, FL 33610. The listed phone number is (813) 239-8069.

What is Mattie Shaw's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Mattie Shaw was last updated on June 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.