Susan Shaw, MSW, LICSW, LADC-1
NPI #1023160538 in Arlington, Massachusetts
Provider Information
- NPI Number
- 1023160538
- Entity Type
- Individual
- Name
- Susan Shaw, MSW, LICSW, LADC-1
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- MSW, LICSW, LADC-1
- Enumeration Date
- Jan 17, 2007
- Last Updated
- Sep 21, 2010
Practice Location
- Address
- 299 BROADWAY
- City
- Arlington
- State
- Massachusetts
- ZIP Code
- 02474
- Phone
- (617) 224-3107
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Social Worker - Clinical — Clinical |
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| Monica Belinda Prudencio | |
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