GWENDOLYN EARLENE SHAW BA, MHS, LSW, CMHT
NPI 1578055489
Counselor - School in Oxford, MS

Active since June 06, 2018PECOS EnrolledAccepts Medicare Assignment
152 HIGHWAY 7 S, OXFORD, MS 38655(662) 234-7521(662) 236-3071 Get Directions Write a Review

NPPES record last updated: June 6, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gwendolyn Earlene Shaw Ba, Mhs, Lsw, Cmht NPPES

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

GWENDOLYN EARLENE SHAW BA, MHS, LSW, CMHT (NPI 1578055489) is an individual school provider in Oxford, Mississippi and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1578055489
Entity TypeIndividualFemale
Primary Taxonomy101YS0200X
Provider Legal NameGWENDOLYN EARLENE SHAWCredential: BA, MHS, LSW, CMHT
Location Address152 HIGHWAY 7 SOxford, MS 38655
Mailing Address152 Highway 7 SOxford, MS 38655-5392 · (662) 234-7521 · Fax (662) 236-3071
Fax(662) 236-3071
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 6, 2018
NPI 1578055489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · SchoolBehavioral Health & Social Service Providers
Taxonomy Code101YS0200X
152 HIGHWAY 7 S, Oxford, MS 38655

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

Gwendolyn Earlene Shaw Ba, Mhs, Lsw, Cmht 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 ID42706582
PECOS Enrollment IDI20260105001350
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.

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)
152 HIGHWAY 7 S
OXFORD, MS 38655
Counselor (Mental Health)
152 HIGHWAY 7 S
OXFORD, MS 38655
Counselor (Mental Health)
152 HIGHWAY 7 S
OXFORD, MS 38655
Counselor (Mental Health)
152 HIGHWAY 7 S
OXFORD, MS 38655
Counselor (Professional)
152 HIGHWAY 7 S
OXFORD, MS 38655
Social Worker
152 HIGHWAY 7 S
OXFORD, MS 38655
Social Worker
152 HIGHWAY 7 S
OXFORD, MS 38655
Social Worker
152 HIGHWAY 7 S
OXFORD, MS 38655

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 Gwendolyn Shaw's NPI number?

The NPI number for Gwendolyn Shaw is 1578055489. It was assigned to this individual provider in the NPPES registry on June 6, 2018.

Where is Gwendolyn Shaw located?

Gwendolyn Shaw practices at 152 Highway 7 S, Oxford, MS 38655. The listed phone number is (662) 234-7521.

What is Gwendolyn Shaw's specialty?

The primary specialty registered for this NPI is Counselor, specializing in School, with taxonomy code 101YS0200X.

Is Gwendolyn Shaw enrolled in Medicare?

Yes. Gwendolyn 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.

When was this NPI record last updated?

The NPPES record for Gwendolyn Shaw was last updated on June 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.