Provider Demographics
NPI:1609465384
Name:SHAW, HOPETON EARL (LMHC LPC)
Entity type:Individual
Prefix:MR
First Name:HOPETON
Middle Name:EARL
Last Name:SHAW
Suffix:
Gender:M
Credentials:LMHC LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 W 21ST ST RM 602
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-7347
Mailing Address - Country:US
Mailing Address - Phone:917-847-7397
Mailing Address - Fax:
Practice Address - Street 1:54 W 21ST ST RM 602
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-7347
Practice Address - Country:US
Practice Address - Phone:917-847-7397
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-15
Last Update Date:2025-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLTPMC5754101YM0800X
CT7374101YP2500X
NY011003101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional