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: July 19, 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
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

Other Identifiers 1

Medicaid43086600WI

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

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
87 services17 patients

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.

Clinic/Center (Mental Health (Including Community Mental Health Center))
1345 W MASON ST STE 102
GREEN BAY, WI 54303

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629176938, enumerated as an "individual" on September 20, 2006.

The provider is located at 1345 W MASON ST STE 102 GREEN BAY, WI 54303 and the phone number is (920) 301-3546.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Medica,. Please consult your insurance carrier or call the provider to verify.