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

Individual provider Clinical Social Worker · NPI 1336864107

MS. Carole Jean Shaw, LICSW is a Clinical Social Worker in Edmonds, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2022
Specialties on file
4
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

20702 82nd Ave W
Edmonds, WA 98026-6723
Phone: (425) 478-8111
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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 LW60199495 (WA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 60199495 (WA)
Clinical Social Worker Taxonomy 1041C0700X (WA)
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1336864107
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedOctober 5, 2022
Last updated in NPPESOctober 5, 2022
Certification dateOctober 5, 2022

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