MS. SUSAN CAROL SHAW
NPI 1700011988
Counselor - Addiction (Substance Use Disorder) in Fresno, CA

Active since May 18, 2009
2772 MARTIN LUTHER KING BLVD., FRESNO, CA 93706(559) 265-4800(559) 265-4823 Get Directions Write a Review

NPPES record last updated: May 18, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Susan Carol Shaw NPPES

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

MS. SUSAN CAROL SHAW (NPI 1700011988) is an individual addiction (substance use disorder) provider in Fresno, California and active in the NPI registry since May 2009.

NPPES Registry Identity

NPI1700011988
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMS. SUSAN CAROL SHAW
Location Address2772 MARTIN LUTHER KING BLVD.Fresno, CA 93706
Mailing Address4817 E Clinton AveFresno, CA 93703-2808 · (559) 265-4800 · Fax (559) 265-4823
Fax(559) 265-4823
Sole ProprietorNo
Enumeration DateMay 18, 2009
NPI 1700011988 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
2772 MARTIN LUTHER KING BLVD., Fresno, CA 93706

Other Providers at the Same Location NPPES 12

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

Counselor (Addiction (Substance Use Disorder))
2772 MARTIN LUTHER KING BLVD.
FRESNO, CA 93706
Counselor (Addiction (Substance Use Disorder))
2772 MARTIN LUTHER KING BLVD.
FRESNO, CA 93706
Counselor (Addiction (Substance Use Disorder))
2772 MARTIN LUTHER KING BLVD.
FRESNO, CA 93706
Counselor (Addiction (Substance Use Disorder))
2772 MARTIN LUTHER KING BLVD.
FRESNO, CA 93706
Counselor
2772 MARTIN LUTHER KING BLVD.
FRESNO, CA 93706
Case Manager/Care Coordinator
2772 MARTIN LUTHER KING BLVD.
FRESNO, CA 93706
Substance Abuse Rehabilitation Facility
2772 MARTIN LUTHER KING BLVD.
FRESNO, CA 93706
Counselor (Addiction (Substance Use Disorder))
2772 MARTIN LUTHER KING BLVD.
FRESNO, CA 93706

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 Susan Shaw's NPI number?

The NPI number for Susan Shaw is 1700011988. It was assigned to this individual provider in the NPPES registry on May 18, 2009.

Where is Susan Shaw located?

Susan Shaw practices at 2772 Martin Luther King Blvd., Fresno, CA 93706. The listed phone number is (559) 265-4800.

What is Susan 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 Susan Shaw was last updated on May 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.