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

Mrs. Jessica Shaw, LCSW

Individual provider Clinical Social Worker · NPI 1700546074

Mrs. Jessica Shaw, LCSW is a Clinical Social Worker in Kingston, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2021
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

260 Kings Mall Ct # 167
Kingston, NY 12401-1574
Phone: (845) 237-3977
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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 090962 (NY)

Record details

NPI number1700546074
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedDecember 28, 2021
Last updated in NPPESDecember 28, 2021
Certification dateFebruary 21, 2021

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