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

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1053821884

Maurice Shane Etter, LCSW, CSAC is an Addiction (Substance Use Disorder) Counselor in Roanoke, Virginia. Licensed in Virginia. Registered with an NPI since 2017.

Licensed in
VA
In the registry since
2017
Specialties on file
3
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

504 23rd St NW
Roanoke, VA 24017-5414
Phone: (540) 345-2606
Fax: (540) 345-2608
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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 0904009951 (VA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Clinical Social Worker Taxonomy 1041C0700X · Licence 1053821884 (VA)

Record details

NPI number1053821884
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW , CSAC
Sole proprietorNo
NPI enumeratedOctober 6, 2017
Last updated in NPPESJune 23, 2023
Certification dateJune 23, 2023

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