MS. KELLEY P SHAW
NPI 1750634226
Social Worker in Greenville, SC

Q: What is Kelley Shaw's NPI number?

The NPI number for Kelley Shaw is 1750634226. It was assigned to this individual provider in the NPPES registry on October 22, 2012.

Q: What is Kelley Shaw's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Kelley Shaw was last updated on June 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since October 22, 2012PECOS EnrolledAccepts Medicare Assignment

10 PATEWOOD DR STE 130, GREENVILLE, SC 29615(864) 522-5550(864) 455-4540 Get Directions Write a Review

NPPES record last updated: June 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 7, 2023, Apr 9, 2021, Apr 4, 2021 (3 updates tracked since 2021).

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About Ms. Kelley P Shaw NPPES

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

MS. KELLEY P SHAW (NPI 1750634226) is an individual social worker in Greenville, South Carolina, licensed in South Carolina (10256) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1750634226

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameMS. KELLEY P SHAW

Location Address10 PATEWOOD DR STE 130Greenville, SC 29615-6317

Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 522-8603

Phone(864) 522-5550

Fax(864) 455-4540

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateOctober 22, 2012

Last NPPES UpdateJune 7, 20233 updates tracked since enumeration

NPPES CertifiedJune 7, 2023

✔ NPI 1750634226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in SC · 10256

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

10 PATEWOOD DR STE 130, Greenville, SC 29615

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, InStil Health, UnitedHealthcare.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

Ms. Kelley P Shaw 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 ID3072853571

PECOS Enrollment IDI20190320001100

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 20

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

CATHERINE HICKS ROBERTS LISW

Social Worker (Clinical)