Individual
DR. SCOTT D. SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.MIN.
Contact information
Practice address
3501 LAKE EASTBROOK BLVD SE, SUITE 280, GRAND RAPIDS, MI 49546-5938
(616) 942-7331
(616) 942-8807
Mailing address
3501 LAKE EASTBROOK BLVD SE, SUITE 280, GRAND RAPIDS, MI 49546-5938
(616) 942-7331
(616) 942-8807
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401007864
MI
1041C0700X
Clinical Social Worker
6801081490
MI
Other
Enumeration date
01/10/2007
Last updated
09/11/2025
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