PHYLLIS ANITA SHAW
NPI 1619832821
Social Worker - Clinical in Raeford, NC

Active since December 19, 2025
632 W PROSPECT AVE, RAEFORD, NC 28376(910) 875-5590(910) 875-5008 Get Directions Write a Review

NPPES record last updated: December 29, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 29, 2025, Dec 19, 2025 (2 updates tracked since 2025).

About Phyllis Anita Shaw NPPES

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

PHYLLIS ANITA SHAW (NPI 1619832821) is an individual clinical provider in Raeford, North Carolina, licensed in North Carolina (P021704) and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1619832821
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NamePHYLLIS ANITA SHAW
Location Address632 W PROSPECT AVERaeford, NC 28376-2512
Mailing AddressPo Box 2062Raeford, NC 28376-4062 · (910) 633-3475
Fax(910) 875-5008
Sole ProprietorYes
Enumeration DateDecember 19, 2025
Last NPPES UpdateDecember 29, 20252 updates tracked since enumeration
NPPES CertifiedDecember 29, 2025
NPI 1619832821 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 NC · P021704
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.

632 W PROSPECT AVE, Raeford, NC 28376

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

In Home Supportive Care
632 W PROSPECT AVE
RAEFORD, NC 28376
Social Worker (Clinical)
632 W PROSPECT AVE
RAEFORD, NC 28376
Social Worker (Clinical)
632 W PROSPECT AVE
RAEFORD, NC 28376
Social Worker (Clinical)
632 W PROSPECT AVE
RAEFORD, NC 28376
Massage Therapist
632 W PROSPECT AVE
RAEFORD, NC 28376
Social Worker (Clinical)
632 W PROSPECT AVE
RAEFORD, NC 28376
Massage Therapist
632 W PROSPECT AVE
RAEFORD, NC 28376

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 Phyllis Shaw's NPI number?

The NPI number for Phyllis Shaw is 1619832821. It was assigned to this individual provider in the NPPES registry on December 19, 2025.

Where is Phyllis Shaw located?

Phyllis Shaw practices at 632 W Prospect Ave, Raeford, NC 28376. The listed phone number is (910) 875-5590.

What is Phyllis 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 Phyllis Shaw was last updated on December 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.