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

Jessie A Shaw

Individual provider Clinical Social Worker · NPI 1083442156

Jessie A Shaw is a Clinical Social Worker in Brandon, Florida. Licensed in Florida. Registered with an NPI since 2024.

Licensed in
FL
In the registry since
2024

Practice location Address checks out

109 N Oakwood Ave
Brandon, FL 33510-4629
Phone: (813) 819-8704
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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 ISW19208 (FL)

Record details

NPI number1083442156
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 22, 2024
Last updated in NPPESJuly 22, 2024
Certification dateJuly 22, 2024
Mailing address406 The Place Ct Apt A7, Tampa, FL 33606-3758

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