KEVIN SHAW LCSW, CADC III
NPI 1861699563
Social Worker - Clinical in Bend, OR

Active since June 27, 2007
2577 NE COURTNEY DR, BEND, OR 97701(541) 322-7500(541) 322-7565 Get Directions Write a Review

NPPES record last updated: November 25, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kevin Shaw Lcsw, Cadc Iii NPPES

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

KEVIN SHAW LCSW, CADC III (NPI 1861699563) is an individual clinical provider in Bend, Oregon, licensed in Oregon (4658) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1861699563
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameKEVIN SHAWCredential: LCSW, CADC III
Location Address2577 NE COURTNEY DRBend, OR 97701-7638
Mailing Address2577 Ne Courtney DrBend, OR 97701-0000 · (541) 322-7500 · Fax (541) 322-7565
Fax(541) 322-7565
Sole ProprietorNo
Enumeration DateJune 27, 2007
Last NPPES UpdateNovember 25, 2013
NPI 1861699563 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 in OR · 4658
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 · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 12-06-101U3 (OR)
2577 NE COURTNEY DR, Bend, OR 97701

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.

Counselor (Mental Health)
2577 NE COURTNEY DR
BEND, OR 97701
Registered Nurse (Community Health)
2577 NE COURTNEY DR
BEND, OR 97701
Registered Nurse (Community Health)
2577 NE COURTNEY DR
BEND, OR 97701
Clinic/Center (Public Health, State or Local)
2577 NE COURTNEY DR
BEND, OR 97701
Counselor (Professional)
2577 NE COURTNEY DR
BEND, OR 97701
Social Worker (Clinical)
2577 NE COURTNEY DR
BEND, OR 97701
Case Manager/Care Coordinator
2577 NE COURTNEY DR
BEND, OR 97701
Counselor (Mental Health)
2577 NE COURTNEY DR
BEND, OR 97701

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 Kevin Shaw's NPI number?

The NPI number for Kevin Shaw is 1861699563. It was assigned to this individual provider in the NPPES registry on June 27, 2007.

Where is Kevin Shaw located?

Kevin Shaw practices at 2577 NE Courtney Dr, Bend, OR 97701. The listed phone number is (541) 322-7500.

What is Kevin 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 Kevin Shaw was last updated on November 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.