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

Mr. John Robert Shaw

Individual provider Clinical Social Worker · NPI 1538475926

Mr. John Robert Shaw is a Clinical Social Worker in East Lansing, Michigan. Qualified in 2010, 16 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
16
Licensed in
MI
In the registry since
2010
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Practice location Address checks out

601 Abbot Rd Ste 103
East Lansing, MI 48823-3366
Phone: (517) 230-1993
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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 6801092069 (MI)

Record details

NPI number1538475926
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 24, 2010
Last updated in NPPESAugust 24, 2010
Mailing address601 Abbot Rd, Suite 103, East Lansing, MI 48823-3366

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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