Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

STACEY ANN SHAW PHD, CSW
NPI 1780515387
Counselor - Mental Health in West Jordan, UT

Active since May 25, 2026
8813 S REDWOOD RD STE B1, WEST JORDAN, UT 84088(385) 439-9823 Get Directions Write a Review

NPPES record added: May 25, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stacey Ann Shaw Phd, Csw NPPES

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

STACEY ANN SHAW PHD, CSW (NPI 1780515387) is an individual mental health provider in West Jordan, Utah, licensed in Utah (7141593-3502) and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1780515387
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSTACEY ANN SHAWCredential: PHD, CSW
Location Address8813 S REDWOOD RD STE B1West Jordan, UT 84088-9272
Mailing Address3485 S Fleetwood DrSalt Lake City, UT 84109-3284 · (801) 916-4222
Sole ProprietorNo
Enumeration DateMay 25, 2026
NPPES CertifiedMay 25, 2026
NPI 1780515387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in UT · 7141593-3502
8813 S REDWOOD RD STE B1, West Jordan, UT 84088

Other Providers at the Same Location NPPES 2

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

Social Worker (Clinical)
8813 S REDWOOD RD STE B1
WEST JORDAN, UT 84088
Clinic/Center (Mental Health (Including Community Mental Health Center))
8813 S REDWOOD RD STE B1
WEST JORDAN, UT 84088

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 Stacey Shaw's NPI number?

The NPI number for Stacey Shaw is 1780515387. It was assigned to this individual provider in the NPPES registry on May 25, 2026.

Where is Stacey Shaw located?

Stacey Shaw practices at 8813 S Redwood Rd Ste B1, West Jordan, UT 84088. The listed phone number is (385) 439-9823.

What is Stacey Shaw's specialty?

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

When was this NPI record last updated?

The NPPES record for Stacey Shaw was last updated on May 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.