MRS. JESSICA SHAW LCSW
NPI 1700546074
Social Worker - Clinical in Kingston, NY

Active since December 28, 2021
260 KINGS MALL CT # 167, KINGSTON, NY 12401(845) 237-3977 Get Directions Write a Review

NPPES record last updated: December 28, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Mrs. Jessica Shaw Lcsw NPPES

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

MRS. JESSICA SHAW LCSW (NPI 1700546074) is an individual clinical provider in Kingston, New York, licensed in New York (090962) and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1700546074
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. JESSICA SHAWCredential: LCSW
Location Address260 KINGS MALL CT # 167Kingston, NY 12401-1574
Mailing Address260 Kings Mall Ct # 167Kingston, NY 12401-1574 · (845) 237-3977
Sole ProprietorYes
Enumeration DateDecember 28, 2021
NPPES CertifiedFebruary 21, 2021
✔ NPI 1700546074 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 NY · 090962
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.
260 KINGS MALL CT # 167, Kingston, NY 12401

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 Jessica Shaw's NPI number?

The NPI number for Jessica Shaw is 1700546074. It was assigned to this individual provider in the NPPES registry on December 28, 2021.

Where is Jessica Shaw located?

Jessica Shaw practices at 260 Kings Mall Ct # 167, Kingston, NY 12401. The listed phone number is (845) 237-3977.

What is Jessica 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 Jessica Shaw was last updated on December 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.