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LORENZO SHAW RAC
NPI 1639997919
Counselor - Addiction (Substance Use Disorder) in San Diego, CA

Active since September 26, 2024
4104 DELTA ST, SAN DIEGO, CA 92113(619) 384-6760 Get Directions Write a Review

NPPES record last updated: September 26, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Lorenzo Shaw Rac NPPES

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

LORENZO SHAW RAC (NPI 1639997919) is an individual addiction (substance use disorder) provider in San Diego, California, licensed in California (24701) and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1639997919
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameLORENZO SHAWCredential: RAC
Location Address4104 DELTA STSan Diego, CA 92113-4113
Mailing Address4104 Delta StSan Diego, CA 92113-4113 · (619) 384-6760
Phone(619) 384-6760
Sole ProprietorYes
Enumeration DateSeptember 26, 2024
NPPES CertifiedSeptember 26, 2024
✔ NPI 1639997919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · 24701
4104 DELTA ST, San Diego, CA 92113
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Other Providers at the Same Location NPPES 14

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

TRADITION ONE
Substance Abuse Rehabilitation Facility
4104 DELTA ST
SAN DIEGO, CA 92113
San Diego County (619) 264-0141
CYNTHIA SANTANA
Peer Specialist
4104 DELTA ST
SAN DIEGO, CA 92113
San Diego County (619) 264-0141
PETER ROSS RATKOVICH CADC-CAS
Counselor (Addiction (Substance Use Disorder))
4104 DELTA ST
SAN DIEGO, CA 92113
San Diego County (619) 264-0141
MELISSA BOUCHARD
Peer Specialist
4104 DELTA ST
SAN DIEGO, CA 92113
San Diego County (619) 264-0141
TAMARA PARKER
Counselor (Addiction (Substance Use Disorder))
4104 DELTA ST
SAN DIEGO, CA 92113
San Diego County (619) 264-0141
CASSANDRA ELIZABETH ARNOLD CADCII
Counselor (Addiction (Substance Use Disorder))
4104 DELTA ST
SAN DIEGO, CA 92113
San Diego County (619) 264-0141
BRITTNEY DIXON
Peer Specialist
4104 DELTA ST
SAN DIEGO, CA 92113
San Diego County (161) 926-4014
RALPH ANTHONY RAMIREZ
Counselor (Addiction (Substance Use Disorder))
4104 DELTA ST
SAN DIEGO, CA 92113
San Diego County (619) 264-0141

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 Lorenzo Shaw's NPI number?

The NPI number for Lorenzo Shaw is 1639997919. It was assigned to this individual provider in the NPPES registry on September 26, 2024.

Where is Lorenzo Shaw located?

Lorenzo Shaw practices at 4104 Delta St, San Diego, CA 92113. The listed phone number is (619) 384-6760.

What is Lorenzo Shaw's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Lorenzo Shaw was last updated on September 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.