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

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1841620184

Stacey F Shaw, LICSW is an Addiction (Substance Use Disorder) Counselor in Lynnwood, Washington. Licensed in Florida and Washington. Registered with an NPI since 2013.

Licensed in
FL, WA
In the registry since
2013
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

3101 184th St SW Unit D218
Lynnwood, WA 98037-4991
Phone: (425) 275-6681
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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 LW60832998 (WA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence CP60832976 (WA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 5751 (FL)
Clinical Social Worker Taxonomy 1041C0700X · Licence SW11562 (FL)

Record details

NPI number1841620184
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedNovember 23, 2013
Last updated in NPPESJanuary 11, 2025
Certification dateJanuary 11, 2025

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