Active NPI
Sharon Elizabeth Shea, LCSW, LADC
- Clinical Social Worker
- New Milford, CT
National Provider Identifier
1164400016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 3991
- Practice address
- 6 Partridge LN
New Milford, CT 06776-3057 - Phone
- (203) 744-9737
- Fax
- (203) 529-0581
- NPI assigned
- Jan 2, 2006
- Last updated
- Jul 18, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 291 | CT | |
| Clinical Social Worker | 1041C0700X | 3991 | CT | Primary |
Addresses
Primary practice location
6 Partridge LN
New Milford, CT 06776-3057
Mailing address
6 Partridge LN
New Milford, CT 06776-3057
Phone (203) 744-9737
Other practice location 1
60 Old New Milford Rd
Suite 3B
Brookfield, CT 06804-2430
Phone (203) 775-5149
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041025000169 | CT | Practitioner - Clinical Social Worker | 8628039526 | Practice locations: Brookfield, CT; New Milford, CT |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
6 Partridge LN
New Milford, CT 06776-3057
Phone (203) 744-9737
60 Old New Milford Rd
Suite 3B
Brookfield, CT 06804-2430
Phone (203) 744-9737
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689638400000",
"number": "1164400016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 PARTRIDGE LN",
"city": "NEW MILFORD",
"state": "CT",
"postal_code": "067763057",
"telephone_number": "203-744-9737",
"fax_number": "203-529-0581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 PARTRIDGE LN",
"city": "NEW MILFORD",
"state": "CT",
"postal_code": "067763057",
"telephone_number": "203-744-9737",
"fax_number": "203-529-0581"
}
],
"practiceLocations": [
{
"address_1": "60 Old New Milford Rd",
"address_2": "Suite 3B",
"address_purpose": "LOCATION",
"city": "Brookfield",
"state": "CT",
"postal_code": "068042430",
"country_code": "US",
"telephone_number": "203-775-5149",
"fax_number": "877-399-7086",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHEA",
"first_name": "SHARON",
"middle_name": "ELIZABETH",
"credential": "LCSW, LADC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-01-02",
"last_updated": "2023-07-18",
"certification_date": "2023-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CT",
"license": "291",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "3991",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Milford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; 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.