Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Callen Shaw

Individual provider Professional Counselor · NPI 1578304101

Callen Shaw is a Mental Health Counselor in Brown Deer, Wisconsin. Graduated from Marquette University School of Dentistry in 2024, 2 years ago. Licensed in Wisconsin.

Years since qualifying
2
Trained at
Marquette University School of Dentistry
Licensed in
WI
In the registry since
2024

Practice location Address checks out

3900 W Brown Deer Rd Ste 200
Brown Deer, WI 53209-1220
Phone: (414) 540-2170
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 7899 (WI)

Record details

NPI number1578304101
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 6, 2024
Last updated in NPPESJune 6, 2024
Certification dateJune 6, 2024
Mailing address3900 W Brown Deer Rd Ste 200, Brown Deer, WI 53209-1220

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolMARQUETTE UNIVERSITY SCHOOL OF DENTISTRY
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated

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