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

Phyllis Anita Shaw

Individual provider Clinical Social Worker · NPI 1619832821

Phyllis Anita Shaw is a Clinical Social Worker in Raeford, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2025

Practice location Address checks out

632 W Prospect Ave
Raeford, NC 28376-2512
Phone: (910) 875-5590
Fax: (910) 875-5008
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence P021704 (NC)

Record details

NPI number1619832821
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 19, 2025
Last updated in NPPESDecember 29, 2025
Certification dateDecember 29, 2025
Mailing addressPo Box 2062, Raeford, NC 28376-4062

Other providers in Raeford