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Active NPI 1386797280 Individual Practitioner Female Practitioner

Roberta E Shaw , LCPC

Counselor - Professional • Fairfield, ME

Professional Overview & Biography Verified Profile Summary

Roberta Shaw, LCPC is a registered healthcare professional specializing in Counselor - Professional in Fairfield, ME. Practice services are available at 12 DAMASCUS RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12 Damascus Rd

Fairfield, ME 049374307

Telephone 2074537980
Fax 2076498384
Associated Practice Facility / Clinic
🏢 The Shaw Agency, Inc. Facility NPI 1205266756

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Fairfield, ME

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.4 Yrs
Regional Practice Density
1 Specialists

Practicing in Fairfield, ME (1105 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License ME CC987

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
128320000 (ME)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location April 23, 2018

Registered at 12 DAMASCUS RD, FAIRFIELD, ME 049374307 (Tel: 2074537980)

📍
Updated Business Mailing Address April 23, 2018

Registered at 12 DAMASCUS RD, FAIRFIELD, ME 049374307 (Tel: 2074537980)

👤
Provider Name / Credentials Updated April 23, 2018

Recorded as ROBERTA SHAW, L.C.P.C.

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 60 FRONT ST, SUITE 8, WATERVILLE, ME 049016658 (Tel: 2078725509)

📍
Updated Business Mailing Address July 09, 2007

Registered at 60 FRONT ST, SUITE 8, WATERVILLE, ME 049016658 (Tel: 2078725509)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as ROBERTA SHAW-ROBERGE, L.C.P.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Counselor (License #CC987 in ME)

🟢
Initial NPI Registration & Enumeration January 22, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1386797280
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 22, 2007
Last Update: April 23, 2018
Sole Proprietor: Yes

Mailing Address

12 Damascus Rd

Fairfield, ME 049374307

Phone: 2074537980

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.