JACIE SHAW
NPI 1407162779
Social Worker - Clinical in Portland, ME

Active since August 25, 2010
60 BUCA RUN, PORTLAND, ME 04103(204) 624-2464 Get Directions Write a Review

NPPES record last updated: August 25, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacie Shaw NPPES

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

JACIE SHAW (NPI 1407162779) is an individual clinical provider in Portland, Maine, licensed in Maine (MC12587) and active in the NPI registry since August 2010.

NPPES Registry Identity

NPI1407162779
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJACIE SHAW
Location Address60 BUCA RUNPortland, ME 04103-1427
Mailing Address60 Buca RunPortland, ME 04103-1427 · (204) 624-2464
Sole ProprietorYes
Enumeration DateAugust 25, 2010
NPI 1407162779 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 ME · MC12587
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.
60 BUCA RUN, Portland, ME 04103

Other Identifiers 1

Other435945899ME · Provider Enrollment

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 Jacie Shaw's NPI number?

The NPI number for Jacie Shaw is 1407162779. It was assigned to this individual provider in the NPPES registry on August 25, 2010.

Where is Jacie Shaw located?

Jacie Shaw practices at 60 Buca Run, Portland, ME 04103. The listed phone number is (204) 624-2464.

What is Jacie Shaw'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 Jacie Shaw was last updated on August 25, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.