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

Katie Ann Louise Shaw, LICSW

Individual provider Clinical Social Worker · NPI 1518046374

Katie Ann Louise Shaw, LICSW is a Clinical Social Worker in Andover, Minnesota. Qualified in 2003, 23 years ago. Accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
23
Licensed in
MN
In the registry since
2006
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

1875 Station Pkwy NW
Andover, MN 55304-3319
Phone: (763) 482-9598
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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 16455LICSW (MN)

Record details

NPI number1518046374
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedNovember 3, 2006
Last updated in NPPESOctober 2, 2024
Certification dateOctober 2, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Andover