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

Mr. Jeffrey Shaw, CRC, LCASA

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1730577073

Mr. Jeffrey Shaw, CRC, LCASA is an Addiction (Substance Use Disorder) Counselor in Winston Salem, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2015

Practice location Address checks out

3098 Glen Laurel Ln
Winston Salem, NC 27107-4454
Phone: (336) 287-5063
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 20257 (NC)

Record details

NPI number1730577073
Entity typeIndividual (Type 1)
GenderMale
Credentials CRC , LCASA
Sole proprietorYes
NPI enumeratedJanuary 8, 2015
Last updated in NPPESJanuary 8, 2015

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