Eugene Donald Shea, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R025378-1 Issued in NY

Practice address

14732 Jamaica Ave
Jamaica, NY 11435-4042

Phone

(718) 526-8400

NPI assigned

Jan 20, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Transitional Services for New York, Inc

  • Community/Behavioral Health Agency
  • Jamaica, NY
  • NPI 1457418337
  Medicare reassignment NPD
• Transitional Services for New York,Inc.

  • Community/Behavioral Health Agency
  • Jamaica, NY
  • NPI 1861644148
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033262084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N 10TH ST",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110404204",
            "telephone_number": "516-326-9728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14732 JAMAICA AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114354042",
            "telephone_number": "718-526-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEA",
        "first_name": "EUGENE",
        "middle_name": "DONALD",
        "name_prefix": "Mr.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R025378-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sona Sharma, MD
• Vidhu Sharma, MD
• Veronica Sharplis, NP
• Fnu Shazna, MD
• Anne Griffin Shea, LMSW
• Yona Shechter
• Shefa Pharmacy Inc
• Hassan Iqbal Sheikh
• Salman Asrar Sheikh, PHARM D.
• Sobia Sheikh, PA

• Clinical Social Worker in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.