Natalie Anne Shea, LMSW, CASAC-T

Individual provider Active NPI Clinical Social Worker · Alexandria Bay, NY

NPI 1225524739 · NPPES record last updated Jul 9, 2018

Key facts

NPI
1225524739
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
101662 (NY)
Practice address
4 Fuller St
Alexandria Bay, NY 13607-1391
Phone
(315) 482-1127
NPI assigned
Jul 9, 2018
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
101662NYMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 101662 NY Yes

Addresses

Primary practice location

4 Fuller St
Alexandria Bay, NY 13607-1391

Mailing address

4 Fuller St
Alexandria Bay, NY 13607-1391
Phone (315) 482-1127

Other providers in Alexandria Bay, NY

All providers in Alexandria Bay, NY · Clinical Social Worker in New York

Sources for this page

Verify at the official NPI Registry.