Active NPIIndividual provider

Nicole Shea, LCSW

Social Worker, Clinical in Orange, Connecticut

NPI Number1891170262
Practice location
200 Edison RD, Orange, CT 06477-3602
Fax
—
Last updated
April 1, 2025

Nicole Shea is a Social Worker, Clinical based in Orange, CT. Nicole Shea practices in Orange, CT and has the professional credentials of LCSW. The NPI Number for Nicole Shea is 1891170262 and holds a License No. 125158 (MA). The current practice location address for Nicole Shea is 200 Edison RD, Orange, CT 06477-3602 and can be reached out via phone at 203-508-7819.

Provider Profile Details

NPI Number
1891170262
Provider Name
Nicole Shea
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
200 Edison RD, Orange, CT 06477-3602
Phone Number
203-508-7819
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
July 27, 2015
Last Update Date
April 1, 2025
Certification Date
April 1, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
200 Edison RD
Orange, CT 06477-3602
City
Orange
Zip
06477-3602
Phone Number
203-508-7819
Orange, CT 06477Get directions →

Provider Business Mailing Address Details

Address
200 Edison RD
Orange, CT 06477-3602
City
Orange
State
CT
Zip
06477-3602
Phone Number
203-508-7819

License Information

License Number (1)
125158
License State (1)
MA
Taxonomy (1)
Social Worker, Clinical · 1041C0700X
License Number (2)
15035
License State (2)
CT
Taxonomy (2)
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 Nicole Shea, LCSW?

The NPI number of Nicole Shea, LCSW is 1891170262. It was assigned on July 27, 2015 and is currently active in the NPPES registry.

What is the specialty of Nicole Shea, LCSW?

Nicole Shea, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 125158.

Where does Nicole Shea, LCSW practice?

The practice location is 200 Edison RD, Orange, CT 06477-3602. The office can be reached at 203-508-7819 (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 1891170262 directly on the NPPES registry website.

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