Individual
SCOTT R SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW, CADC
Contact information
Practice address
12 HEALTH SERVICES DR, DEKALB, IL 60115-9637
(815) 756-4875
(815) 756-2944
Mailing address
12 HEALTH SERVICES DR, DEKALB, IL 60115-9637
(815) 756-4875
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
25526
IL
104100000X
Social Worker
—
IL
Other
Enumeration date
03/13/2007
Last updated
09/11/2025
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