KELLY GRACE SHAW
NPI 1780231100
Social Worker - Clinical in Crownsville, MD
About Kelly Grace Shaw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY GRACE SHAW (NPI 1780231100) is an individual clinical provider in Crownsville, Maryland, licensed in Maryland (27718) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kelly Grace Shaw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21032 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Kelly Shaw's NPI number?
The NPI number for Kelly Shaw is 1780231100. It was assigned to this individual provider in the NPPES registry on August 21, 2019.
Where is Kelly Shaw located?
Kelly Shaw practices at 757 Whitneys Landing Dr, Crownsville, MD 21032. The listed phone number is (443) 420-8073.
What is Kelly Shaw's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Kelly Shaw enrolled in Medicare?
Yes. Kelly Shaw is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Kelly Shaw was last updated on April 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.