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REGINA DONNETTE SHAW
NPI 1760053813
Counselor - Professional in Glendale, WI

Active since July 08, 2021
1720 W FLORIST AVE STE 125, GLENDALE, WI 53209(414) 247-0801(414) 247-0816 Get Directions Write a Review

NPPES record last updated: July 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Regina Donnette Shaw NPPES

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

REGINA DONNETTE SHAW (NPI 1760053813) is an individual professional provider in Glendale, Wisconsin, licensed in Wisconsin (4981) and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1760053813
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameREGINA DONNETTE SHAW
Location Address1720 W FLORIST AVE STE 125Glendale, WI 53209-3862
Mailing Address1720 W Florist Ave Ste 125Glendale, WI 53209-3862 · (414) 247-0801 · Fax (141) 247-0816
Phone(414) 247-0801
Fax(414) 247-0816
Sole ProprietorYes
Enumeration DateJuly 8, 2021
NPPES CertifiedJuly 8, 2021
✔ NPI 1760053813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in WI · 4981
1720 W FLORIST AVE STE 125, Glendale, WI 53209
Open in Google Maps ↗

Other Identifiers 1

Other4981WI · License

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 11

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

ANDREW R BAGLEY SOCIAL WORKER
Social Worker
1720 W FLORIST AVE STE 125
GLENDALE, WI 53209
Milwaukee County (414) 247-0801
DANIEL S CHOJNACKI
Counselor (Professional)
1720 W FLORIST AVE STE 125
GLENDALE, WI 53209
Milwaukee County (414) 247-0801
SEBASTIAN FAMILY PSYCHOLGY PRACTICE
Counselor (Mental Health)
1720 W FLORIST AVE STE 125
GLENDALE, WI 53209
Milwaukee County (414) 247-0801
BRIT MARIE WILLIAMS-VAN KLOOSTER MSW, CAPSW
Social Worker
1720 W FLORIST AVE STE 125
GLENDALE, WI 53209
Milwaukee County (414) 247-0801
JESSICA MARIE ZARLING MS
Counselor (Professional)
1720 W FLORIST AVE STE 125
GLENDALE, WI 53209
Milwaukee County (414) 247-0801
MRS. SARAH KATE ROSENBLATT LCSW
Social Worker
1720 W FLORIST AVE STE 125
GLENDALE, WI 53209
Milwaukee County (414) 247-0801
DR. LEE ZA ONG LPC
Counselor (Professional)
1720 W FLORIST AVE STE 125
GLENDALE, WI 53209
Milwaukee County (414) 247-0801
TAMMY D GRAY
Social Worker
1720 W FLORIST AVE STE 125
GLENDALE, WI 53209
Milwaukee County (414) 247-0801

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 Regina Shaw's NPI number?

The NPI number for Regina Shaw is 1760053813. It was assigned to this individual provider in the NPPES registry on July 8, 2021.

Where is Regina Shaw located?

Regina Shaw practices at 1720 W Florist Ave Ste 125, Glendale, WI 53209. The listed phone number is (414) 247-0801.

What is Regina Shaw's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Regina Shaw was last updated on July 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.