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LISA SHAW MSW, LCSW
NPI 1629176938
Social Worker - Clinical in Green Bay, WI

Active since September 20, 2006PECOS EnrolledAccepts Medicare Assignment
1345 W MASON ST STE 102, GREEN BAY, WI 54303(920) 301-3546(920) 301-3400 Get Directions Write a Review

NPPES record last updated: November 23, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lisa Shaw Msw, Lcsw NPPES

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

LISA SHAW MSW, LCSW (NPI 1629176938) is an individual clinical provider in Green Bay, Wisconsin, licensed in Wisconsin (7747-123) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1629176938
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLISA SHAWCredential: MSW, LCSW
Location Address1345 W MASON ST STE 102Green Bay, WI 54303-2049
Mailing Address1345 W Mason St Ste 102Green Bay, WI 54303-2049 · (920) 301-3546 · Fax (920) 301-3400
Phone(920) 301-3546
Fax(920) 301-3400
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateSeptember 20, 2006
Last NPPES UpdateNovember 23, 2022
NPPES CertifiedNovember 23, 2022
✔ NPI 1629176938 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 WI · 7747-123
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.
1345 W MASON ST STE 102, Green Bay, WI 54303
Open in Google Maps ↗

Other Identifiers 1

Medicaid43086600WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Dean Health Plan, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lisa Shaw Msw, Lcsw 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 ID3476635194
PECOS Enrollment IDI20230120000117
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 Reassignments

2

Medicare enrollment records show Lisa Shaw reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

New Depth Counseling & Wellness Services, LLC
Same address
Mental Health (Including Community Mental Health Center)
1345 W MASON ST STE 102
Green Bay, WI 54303
  • Reassigned Medicare billing, Wisconsin enrollment
NPI 1376250795 (920) 301-3546
Oneida Nation
2.4 mi
Mental Health (Including Community Mental Health Center)
2640 W POINT RD
Green Bay, WI 54304
  • Reassigned Medicare billing, Wisconsin enrollment
  • 78 clinicians in this Medicare group
NPI 1205825130 (920) 490-3790

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 54303 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 $53.90 – $163.24
Typical copayment $0.00 (range $13.47 – $40.81)
Most-billed visit code NA
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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

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

NEW DEPTH COUNSELING & WELLNESS SERVICES, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
1345 W MASON ST STE 102
GREEN BAY, WI 54303
Brown County (920) 301-3546

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 Lisa Shaw's NPI number?

The NPI number for Lisa Shaw is 1629176938. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Lisa Shaw located?

Lisa Shaw practices at 1345 W Mason St Ste 102, Green Bay, WI 54303. The listed phone number is (920) 301-3546.

What is Lisa Shaw's specialty?

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

Is Lisa Shaw enrolled in Medicare?

Yes. Lisa 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.

Which organizations bill Medicare for Lisa Shaw's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Shaw reassigns Medicare benefits to 2 organizations: New Depth Counseling & Wellness Services, LLC (Green Bay, WI) and Oneida Nation (Green Bay, WI). Each 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 Lisa Shaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Shaw accept?

Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan and UnitedHealthcare list Lisa 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 Lisa Shaw was last updated on November 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.