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BRIAN D. SHAW CM
NPI 1396949517
Social Worker - Clinical in Wynne, AR

Active since June 12, 2007PECOS Enrolled
204 MISSISSIPPI ST S, WYNNE, AR 72396(870) 208-8499(870) 208-8044 Get Directions Write a Review

NPPES record last updated: December 30, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Brian D. Shaw Cm NPPES

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

BRIAN D. SHAW CM (NPI 1396949517) is an individual clinical provider in Wynne, Arkansas, licensed in Arkansas (5606C) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396949517
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameBRIAN D. SHAWCredential: CM
Location Address204 MISSISSIPPI ST SWynne, AR 72396-3025
Mailing Address204 Mississippi St SWynne, AR 72396-3025 · (870) 208-8499 · Fax (870) 208-8044
Phone(870) 208-8499
Fax(870) 208-8044
Sole ProprietorYes
Enumeration DateJune 12, 2007
Last NPPES UpdateDecember 30, 2014
✔ NPI 1396949517 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 AR · 5606C
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.
204 MISSISSIPPI ST S, Wynne, AR 72396
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brian D. Shaw Cm 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 Brian Shaw reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Changes Behavioral Health, LLC
Same address
Community/Behavioral Health
204 MISSISSIPPI ST S
Wynne, AR 72396
  • Reassigned Medicare billing, Arkansas enrollment
  • 26 clinicians in this Medicare group
NPI 1114260486 (870) 208-8499

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 72396 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 $51.36 – $157.74
Typical copayment $0.00 (range $12.84 – $39.43)
Most-billed visit code NA
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
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.

KRISTIN HALLMARK
Case Manager/Care Coordinator
204 MISSISSIPPI ST S
WYNNE, AR 72396
Cross County (870) 208-8499
KAYLA GATES
Case Manager/Care Coordinator
204 MISSISSIPPI ST S
WYNNE, AR 72396
Cross County (870) 208-8499
ALLIE TRAIL
Case Manager/Care Coordinator
204 MISSISSIPPI ST S
WYNNE, AR 72396
Cross County (870) 208-8499
CHANGES BEHAVIORAL HEALTH, LLC
Community/Behavioral Health
204 MISSISSIPPI ST S
WYNNE, AR 72396
Cross County (870) 208-8499
RYLEE RATTON LCSW
Social Worker (Clinical)
204 MISSISSIPPI ST S
WYNNE, AR 72396
Cross County (870) 208-8499
TABATHA BRADLEY LAC
Counselor (Professional)
204 MISSISSIPPI ST S
WYNNE, AR 72396
Cross County (870) 208-8499
LISA TURNER
Counselor (Mental Health)
204 MISSISSIPPI ST S
WYNNE, AR 72396
Cross County (870) 208-8499
LESLIE D TINZIE
Case Manager/Care Coordinator
204 MISSISSIPPI ST S
WYNNE, AR 72396
Cross County (870) 208-8499

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 Brian Shaw's NPI number?

The NPI number for Brian Shaw is 1396949517. It was assigned to this individual provider in the NPPES registry on June 12, 2007.

Where is Brian Shaw located?

Brian Shaw practices at 204 Mississippi St S, Wynne, AR 72396. The listed phone number is (870) 208-8499.

What is Brian Shaw's specialty?

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

Is Brian Shaw enrolled in Medicare?

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

Which organization bills Medicare for Brian Shaw's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Shaw reassigns Medicare benefits to Changes Behavioral Health, LLC (Wynne, AR). 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 Brian Shaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brian Shaw accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Brian Shaw as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brian Shaw was last updated on December 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.