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CHARLISSA SHAW
NPI 1891650057
Case Manager/Care Coordinator in Columbus, OH

Active since December 19, 2025
5150 E MAIN ST STE 104, COLUMBUS, OH 43213(614) 604-8274 Get Directions Write a Review

NPPES record last updated: December 19, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Charlissa Shaw NPPES

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

CHARLISSA SHAW (NPI 1891650057) is an individual case manager/care coordinator provider in Columbus, Ohio and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1891650057
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameCHARLISSA SHAW
Location Address5150 E MAIN ST STE 104Columbus, OH 43213-2441
Mailing Address5150 E Main St Ste 104Columbus, OH 43213-2441 · (614) 604-8274
Phone(614) 604-8274
Sole ProprietorYes
Enumeration DateDecember 19, 2025
NPPES CertifiedDecember 19, 2025
✔ NPI 1891650057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

5150 E MAIN ST STE 104, Columbus, OH 43213
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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.

GORDRELL ENTERPRISES LLC
Non-emergency Medical Transport (VAN)
5150 E MAIN ST STE 104
COLUMBUS, OH 43213
Franklin County (614) 604-2274
GORDRELL ENTERPRISES LLC
Community/Behavioral Health
5150 E MAIN ST STE 104
COLUMBUS, OH 43213
Franklin County (614) 946-5504
CHERYL HENRY
Behavior Technician
5150 E MAIN ST STE 104
COLUMBUS, OH 43213
Franklin County (614) 604-8274
MARCQUIS SWINGLER
Behavior Technician
5150 E MAIN ST STE 104
COLUMBUS, OH 43213
Franklin County (614) 604-8274
JAIDEN MCDOUGAL
Behavior Technician
5150 E MAIN ST STE 104
COLUMBUS, OH 43213
Franklin County (614) 604-8274
ERIKA ELMORE
Behavior Technician
5150 E MAIN ST STE 104
COLUMBUS, OH 43213
Franklin County (614) 604-8274
SENCERE GORDON
Behavior Technician
5150 E MAIN ST STE 104
COLUMBUS, OH 43213
Franklin County (614) 604-8274
MONTREAL JONES
Case Manager/Care Coordinator
5150 E MAIN ST STE 104
COLUMBUS, OH 43213
Franklin County (614) 795-9139

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 Charlissa Shaw's NPI number?

The NPI number for Charlissa Shaw is 1891650057. It was assigned to this individual provider in the NPPES registry on December 19, 2025.

Where is Charlissa Shaw located?

Charlissa Shaw practices at 5150 E Main St Ste 104, Columbus, OH 43213. The listed phone number is (614) 604-8274.

What is Charlissa Shaw's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Charlissa Shaw was last updated on December 19, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.