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MR. TONY C SHAW LCPC
NPI 1730791609
Counselor - Mental Health in Glen Burnie, MD

Active since August 20, 2020PECOS Enrolled
102 6TH AVE NE STE B, GLEN BURNIE, MD 21060(410) 352-7514 Get Directions Write a Review

NPPES record last updated: July 1, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 4, 2021, Aug 20, 2020 (2 updates tracked since 2020).

About Mr. Tony C Shaw Lcpc NPPES

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

MR. TONY C SHAW LCPC (NPI 1730791609) is an individual mental health provider in Glen Burnie, Maryland, licensed in Maryland (LC11938) and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1730791609
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. TONY C SHAWCredential: LCPC
Location Address102 6TH AVE NE STE BGlen Burnie, MD 21060-6869
Mailing Address2814 W Garrison AveBaltimore, MD 21215-5335 · (443) 629-5155
Phone(410) 352-7514
Sole ProprietorYes
Enumeration DateAugust 20, 2020
Last NPPES UpdateJuly 1, 20222 updates tracked since enumeration
NPPES CertifiedJuly 1, 2022
✔ NPI 1730791609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MD · LC11938
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License LC11938 (MD)
102 6TH AVE NE STE B, Glen Burnie, MD 21060
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Other Names 1

Professional Name (2)Mr. Tony Shaw Lcpc

Secondary Practice Locations 2

Location 13202 Spaulding AveBaltimore, MD 21215-5811 · Phone (443) 629-5515
Location 22814 W Garrison AveBaltimore, MD 21215-5335 · Phone (443) 629-5155

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Tony C Shaw Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 4

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

KP COUNSELING SERVICES, INC.
Community/Behavioral Health
102 6TH AVE NE STE B
GLEN BURNIE, MD 21060
Anne Arundel County (410) 320-9967
MS. LIBERTY NEBEL RAVENWOOD LMSW
Social Worker (Clinical)
102 6TH AVE NE STE B
GLEN BURNIE, MD 21060
Anne Arundel County (410) 320-9967
KP COUNSELING SERVICES, INC.
Clinic/Center (Adult Mental Health)
102 6TH AVE NE STE B
GLEN BURNIE, MD 21060
Anne Arundel County (410) 320-9967
CARDINAL COMMUNITY SERVICES, CORP.
Community/Behavioral Health
102 6TH AVE NE STE B
GLEN BURNIE, MD 21060
Anne Arundel County (443) 410-4381

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 Tony Shaw's NPI number?

The NPI number for Tony Shaw is 1730791609. It was assigned to this individual provider in the NPPES registry on August 20, 2020. The provider is also known as Mr. Tony Shaw Lcpc.

Where is Tony Shaw located?

Tony Shaw practices at 102 6th Ave NE Ste B, Glen Burnie, MD 21060. The listed phone number is (410) 352-7514.

What is Tony Shaw's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Tony Shaw enrolled in Medicare?

Yes. Tony Shaw is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tony Shaw was last updated on July 1, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.