Dr. Jack William Shaw is a St Petersburg, Florida based counselor who is specialized as Addiction (Substance Use Disorder) Counselor. Active license number of Dr. Jack William Shaw is MH21197 for Mental Health Counselor in Florida. His current practice location is 1735 Dr Mlk Jr Street South, St Petersburg. Patients can book an appointment with him at 727-502-0188.
Dr. Jack William Shaw is a licensed mental health therapist who help individuals struggling with addiction of alcohol, drug, or other substance use disorder. He helps his clients by manage and overcome the psychological, emotional, and behavioral challenges related to substance use. Counselors also work closely with families and support systems to help them better understand their loved one’s illness. SUD counselors help to promote long-term sobriety, emotional stability, and overall mental wellness for both the individual and their family.
Complete Profile:
Dr. Jack William Shaw speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Jack William Shaw
Specialization:
Addiction (Substance Use Disorder) Counselor
Gender:
Male
Credentials:
ED.D., LMHC
Accepts Medicare Assignment:
No
Practice Address:
1735 Dr Mlk Jr Street South, St Petersburg, Florida, 33705-2547
Phone:
727-502-0188
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1124623319
NPI Enumeration Date:
03 Dec, 2020
NPI Last Update On:
02 Nov, 2022
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jack William Shaw are as mentioned below.
License Number
Specialization
State
Status
MH21197
Mental Health Counselor
Florida
Primary
MCAP100243
Addiction (Substance Use Disorder) Counselor
Florida
Secondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
7780 49th St N # 254, Pinellas Park, Florida
Zip:
33781-3440
Patients can reach Dr. Jack William Shaw at 1735 Dr Mlk Jr Street South, St Petersburg, Florida or can call to book an appointment on 727-502-0188. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.