Mrs. Mary Ellen R Shea, LSW
Social Worker, Clinical in Mahwah, New Jersey
1720588007- Practice location
- 860 Wyckoff Ave, Mahwah, NJ 07430-3186
- Phone
- 201-485-7172
- Fax
- —
- Last updated
- February 13, 2018
Mary Ellen Rita Shea is a Social Worker, Clinical based in Mahwah, NJ. Mary Ellen Rita Shea practices in Mahwah, NJ and has the professional credentials of LSW. The NPI Number for Mary Ellen Rita Shea is 1720588007. The current practice location address for Mary Ellen Rita Shea is 860 Wyckoff Ave, Mahwah, NJ 07430-3186 and can be reached out via phone at 201-485-7172.
Provider Profile Details
- NPI Number
- 1720588007
- Provider Name
- Mary Ellen Rita Shea
- Credential
- LSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 860 Wyckoff Ave, Mahwah, NJ 07430-3186
- Phone Number
- 201-485-7172
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- February 13, 2018
- Last Update Date
- February 13, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 860 Wyckoff Ave
Mahwah, NJ 07430-3186 - City
- Mahwah
- State
- New Jersey
- Zip
- 07430-3186
- Phone Number
- 201-485-7172
Provider Business Mailing Address Details
- Address
- 860 Wyckoff Ave
Mahwah, NJ 07430-3186 - City
- Mahwah
- State
- NJ
- Zip
- 07430-3186
- Phone Number
- 201-637-4997
License Information
- License State
- NJ
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Mrs. Mary Ellen R Shea, LSW?
The NPI number of Mrs. Mary Ellen R Shea, LSW is 1720588007. It was assigned on February 13, 2018 and is currently active in the NPPES registry.
What is the specialty of Mrs. Mary Ellen R Shea, LSW?
Mrs. Mary Ellen R Shea, LSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X).
Where does Mrs. Mary Ellen R Shea, LSW practice?
The practice location is 860 Wyckoff Ave, Mahwah, NJ 07430-3186. The office can be reached at 201-485-7172 (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 1720588007 directly on the NPPES registry website.