KATIE ANN LOUISE SHAW LICSW
NPI 1518046374
Social Worker - Clinical in Andover, MN

Active since November 03, 2006PECOS EnrolledAccepts Medicare Assignment
1875 STATION PKWY NW, ANDOVER, MN 55304(763) 482-9598 Get Directions Write a Review

NPPES record last updated: October 2, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 2, 2024, Jul 26, 2018 (2 updates tracked since 2018).

About Katie Ann Louise Shaw Licsw NPPES

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

KATIE ANN LOUISE SHAW LICSW (NPI 1518046374) is an individual clinical provider in Andover, Minnesota, licensed in Minnesota (16455LICSW) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1518046374
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKATIE ANN LOUISE SHAWCredential: LICSW
Location Address1875 STATION PKWY NWAndover, MN 55304-3319
Mailing Address4050 147th Ln NwAndover, MN 55304-3124 · (612) 840-9735
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateNovember 3, 2006
Last NPPES UpdateOctober 2, 20242 updates tracked since enumeration
NPPES CertifiedOctober 2, 2024
NPI 1518046374 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 MN · 16455LICSW
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.
1875 STATION PKWY NW, Andover, MN 55304

Other Names 1

Other Name (5)Katie Ann Louise Tilley

Other Identifiers 1

Other061637100Medical Assistance Ma

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Katie Ann Louise Shaw Licsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931203007
PECOS Enrollment IDI20070329000211
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55304 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 $56.00 – $168.28
Typical copayment $0.00 (range $14.00 – $42.07)
Most-billed visit code NA
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

Counselor (Mental Health)
1875 STATION PKWY NW
ANDOVER, MN 55304
Marriage & Family Therapist
1875 STATION PKWY NW
ANDOVER, MN 55304
Counselor (Mental Health)
1875 STATION PKWY NW
ANDOVER, MN 55304
Marriage & Family Therapist
1875 STATION PKWY NW
ANDOVER, MN 55304
Counselor (Professional)
1875 STATION PKWY NW
ANDOVER, MN 55304
Counselor (Professional)
1875 STATION PKWY NW
ANDOVER, MN 55304
Counselor (Mental Health)
1875 STATION PKWY NW
ANDOVER, MN 55304
Social Worker (Clinical)
1875 STATION PKWY NW
ANDOVER, MN 55304

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 Katie Shaw's NPI number?

The NPI number for Katie Shaw is 1518046374. It was assigned to this individual provider in the NPPES registry on November 3, 2006. The provider is also known as Katie Ann Louise Tilley.

Where is Katie Shaw located?

Katie Shaw practices at 1875 Station Pkwy NW, Andover, MN 55304. The listed phone number is (763) 482-9598.

What is Katie Shaw's specialty?

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

Is Katie Shaw enrolled in Medicare?

Yes. Katie Shaw is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Katie Shaw accept?

Health plans from HealthPartners list Katie 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 Katie Shaw was last updated on October 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.