Christen O Shea, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

106302 Issued in MA

Practice address

5 Middlesex Ave
Suite 11 Wilmington Family Counseling Service Inc
Wilmington, MA 01887

Phone

(978) 658-9889

Fax

(978) 658-5695

NPI assigned

Jun 18, 2006

Last updated

Oct 31, 2019By 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 MA

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

Specialty

Clinical Social Worker

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Wilmington Family Counseling Service IncGroup PAC ID 8527056431, 11 clinicians

Practice addresses (Care Compare)

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.

• Wilmington Family Counseling Service Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wilmington, MA
  • NPI 1922043447
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572480000000",
    "number": "1093750507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 STURTEVANT ST",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "01915",
            "telephone_number": "978-927-3578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MIDDLESEX AVE",
            "address_2": "SUITE 11 WILMINGTON FAMILY COUNSELING SERVICE INC",
            "city": "WILMINGTON",
            "state": "MA",
            "postal_code": "01887",
            "telephone_number": "978-658-9889",
            "fax_number": "978-658-5695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O SHEA",
        "first_name": "CHRISTEN",
        "name_prefix": "Mr.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-18",
        "last_updated": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "106302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly T Nguyen, PAC
• Julia Valin Niss, LICSW
• Dahiany Norberto
• Northgate Healthcare Services Corporation (Woodbriar of Wilmington Rehabilitation & Skilled Nursing Center)
• Peter Nyame
• Annika Oberg, NP
• Occupational Health Centers of the Southwest P.a. (Concentra Medical Center)
• Ogunjimi Dental Holdings PLLC
• Daniel Ohabuenyi
• Lyndsay Ann Okragleski, MD

• Clinical Social Worker in Wilmington, MA
• Providers in Wilmington, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.