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ELYSSA LORRAINE SHAW ASW11761
NPI 1821800111
Social Worker - Clinical in Grand Terrace, CA

Active since January 23, 2025
21810 MAIN ST, GRAND TERRACE, CA 92313(909) 580-5006 Get Directions Write a Review

NPPES record last updated: January 23, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Elyssa Lorraine Shaw Asw11761 NPPES

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

ELYSSA LORRAINE SHAW ASW11761 (NPI 1821800111) is an individual clinical provider in Grand Terrace, California, licensed in (ASW11761) and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1821800111
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameELYSSA LORRAINE SHAWCredential: ASW11761
Location Address21810 MAIN STGrand Terrace, CA 92313-5810
Mailing Address21810 Main StGrand Terrace, CA 92313-5810 · (909) 580-5006
Phone(909) 580-5006
Sole ProprietorNo
Enumeration DateJanuary 23, 2025
NPPES CertifiedJanuary 23, 2025
✔ NPI 1821800111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed · ASW11761
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License ASW11761 (CA)
21810 MAIN ST, Grand Terrace, CA 92313
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Other Providers at the Same Location NPPES

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

MARISOL ESPINOZA GARCIA ACSW 123201
Social Worker (Clinical)
21810 MAIN ST
GRAND TERRACE, CA 92313
San Bernardino County (909) 580-5006

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 Elyssa Shaw's NPI number?

The NPI number for Elyssa Shaw is 1821800111. It was assigned to this individual provider in the NPPES registry on January 23, 2025.

Where is Elyssa Shaw located?

Elyssa Shaw practices at 21810 Main St, Grand Terrace, CA 92313. The listed phone number is (909) 580-5006.

What is Elyssa Shaw's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Elyssa Shaw was last updated on January 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.