Lauren Elizabeth Shea, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

223674 Issued in MA

Practice address

615 Leominster Rd
Lunenburg, MA 01462-2013

Phone

(978) 582-7103

Fax

(775) 582-7103

NPI assigned

Mar 31, 2018

Last updated

Apr 3, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Flying High Farm, Inc

  • Clinical Social Worker
  • Lunenburg, MA
  • NPI 1598954539
  NPD

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

{
    "created_epoch": "1522454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1235635186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 PLANTATION ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016054300",
            "telephone_number": "508-963-9695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 LEOMINSTER RD",
            "city": "LUNENBURG",
            "state": "MA",
            "postal_code": "014622013",
            "telephone_number": "978-582-7103",
            "fax_number": "775-582-7103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEA",
        "first_name": "LAUREN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-31",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "223674",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "223674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208198943",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sabrina Edith Senfuma
• Susanne Senior
• Pamela Sepulveda
• Shapiro Educational & Behavioral Consultants, LLC
• Brianna Shea
• Jennie M Shine
• Joseph M Shwom
• Elizabeth Similien
• Matalyn Simpson
• Elizabeth (Liz) Rose Spinosa

• Clinical Social Worker in Lunenburg, MA
• Providers in Lunenburg, 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 Apr 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.