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

David E. Shaw Jr., LCSW

Individual provider Clinical Psychologist · NPI 1063185437

David E. Shaw Jr., LCSW is a Clinical Social Worker in Tampa, Florida. Qualified in 2019, 7 years ago. Practices as a sole proprietor. Licensed in Florida.

Years since qualifying
7
Licensed in
FL
In the registry since
2021
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

13000 Bruce B Downs Blvd
Tampa, FL 33612-4745
Phone: (813) 972-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 20915 (FL)
Clinical Psychologist Taxonomy 103TC0700X · Licence ISW14147 (FL)

Record details

NPI number1063185437
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJuly 30, 2021
Last updated in NPPESMay 9, 2023
Certification dateMay 9, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated

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