Active NPIIndividual providerSole proprietor

Kathleen A Shea, LICSW

Social Worker, Clinical in Braintree, Massachusetts

NPI Number1043792187
Practice location
220R Forbes RD, Braintree, MA 02184-2702
Fax
—
Last updated
November 2, 2022

Kathleen Ann Shea is a Social Worker, Clinical based in Braintree, MA. Kathleen Ann Shea practices in Braintree, MA and has the professional credentials of LICSW. The NPI Number for Kathleen Ann Shea is 1043792187 and holds a License No. 110065 (MA). The current practice location address for Kathleen Ann Shea is 220R Forbes RD, Braintree, MA 02184-2702 and can be reached out via phone at 781-794-4416.

Provider Profile Details

NPI Number
1043792187
Provider Name
Kathleen Ann Shea
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
220R Forbes RD, Braintree, MA 02184-2702
Phone Number
781-794-4416
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
September 5, 2018
Last Update Date
November 2, 2022
Certification Date
November 2, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
220R Forbes RD
Braintree, MA 02184-2702
Zip
02184-2702
Phone Number
781-794-4416
Braintree, MA 02184Get directions →

Provider Business Mailing Address Details

Address
266 Lincoln RD
Walpole, MA 02081-1213
City
Walpole
State
MA
Zip
02081-1213
Phone Number
617-605-3797

License Information

License Number
110065
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kathleen A Shea, LICSW?

The NPI number of Kathleen A Shea, LICSW is 1043792187. It was assigned on September 5, 2018 and is currently active in the NPPES registry.

What is the specialty of Kathleen A Shea, LICSW?

Kathleen A Shea, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 110065.

Where does Kathleen A Shea, LICSW practice?

The practice location is 220R Forbes RD, Braintree, MA 02184-2702. The office can be reached at 781-794-4416 (phone).

What is an NPI number?

A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043792187 directly on the NPPES registry website.

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