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

Miss. Katherine Melissa Shay, MSW, LCSW

Individual provider Counselor · NPI 1376890061

Miss. Katherine Melissa Shay, MSW, LCSW is a Clinical Social Worker in Brandon, Florida. Qualified in 2011, 15 years ago. Practices with Emerald Clover, LLC, a 14-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
15
Licensed in
FL
In the registry since
2012
Specialties on file
2
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
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

109 N Oakwood Ave Ste 105
Brandon, FL 33510-4629
Phone: (813) 819-8704
Fax: (813) 939-5675
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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 SW15081 (FL)
Counselor Taxonomy 101Y00000X

Record details

NPI number1376890061
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LCSW
Sole proprietorYes
NPI enumeratedAugust 13, 2012
Last updated in NPPESAugust 28, 2024
Certification dateAugust 28, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Emerald Clover, Llc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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