Active NPIIndividual provider

Angelic Shea, LICSW

Counselor, Mental Health in Haverhill, Massachusetts

NPI Number1700922945
Practice location
215 Summer Street, Harborside Counseling Services, Haverhill, MA 01830
Fax
978-462-2890
Last updated
July 8, 2007

Angelic Shea is a Counselor, Mental Health based in Haverhill, MA. Angelic Shea practices in Haverhill, MA and has the professional credentials of LICSW. The NPI Number for Angelic Shea is 1700922945 and holds a License No. 1027147 (MA). The current practice location address for Angelic Shea is 215 Summer Street, Harborside Counseling Services, Haverhill, MA 01830 and can be reached out via phone at 978-462-2890 and via fax at 978-462-2890.

Provider Profile Details

NPI Number
1700922945
Provider Name
Angelic Shea
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
215 Summer Street, Harborside Counseling Services, Haverhill, MA 01830
Phone Number
978-462-2890
Fax Number
978-462-2890
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
January 29, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
215 Summer Street
Harborside Counseling Services
Haverhill, MA 01830
Zip
01830
Phone Number
978-462-2890
Fax Number
978-462-2890
Haverhill, MA 01830Get directions →

Provider Business Mailing Address Details

Address
143 State Street
Harborside Counseling Services
Newburyport, MA 01950
City
Newburyport
State
MA
Zip
01950
Phone Number
978-462-2890
Fax Number
978-462-2890

License Information

License Number
1027147
License State
MA
Taxonomy
Counselor, Mental Health · 101YM0800X · 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 Angelic Shea, LICSW?

The NPI number of Angelic Shea, LICSW is 1700922945. It was assigned on January 29, 2007 and is currently active in the NPPES registry.

What is the specialty of Angelic Shea, LICSW?

Angelic Shea, LICSW is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in MA under license number 1027147.

Where does Angelic Shea, LICSW practice?

The practice location is 215 Summer Street, Harborside Counseling Services, Haverhill, MA 01830. The office can be reached at 978-462-2890 (phone) or 978-462-2890 (fax).

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 1700922945 directly on the NPPES registry website.

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