Individual provider Active NPI

Sharon Elizabeth Shea, LCSW, LADC

  • Clinical Social Worker
  • New Milford, CT
National Provider Identifier
1164400016
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3991 Issued in CT
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

Verify at the official NPI Registry.