Active NPI
Deborah Ann Shea, LICSW
- Clinical Social Worker
- Chelsea, MA
National Provider Identifier
1295840866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1027337
- Practice address
- 301 Broadway
Chelsea Counseling Services
Chelsea, MA 02150-2807 - Phone
- (617) 912-7989
- Fax
- (617) 887-1889
- NPI assigned
- Aug 21, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1027337 | MA | Primary |
Addresses
Primary practice location
301 Broadway
Chelsea Counseling Services
Chelsea, MA 02150-2807
Mailing address
301 Broadway
Chelsea Counseling Services
Chelsea, MA 02150-2807
Phone (617) 912-7989
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
30 Northampton St
Boston, MA 02118-4098
Phone (617) 433-9601
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commonwealth Clinical Alliance, Inc | Current | Accepting new patients | |
| Boston'S Community Medical Group, Inc. | Current | Accepting new patients | |
| North Suffolk Community Services Inc. | Past | Accepting new patients |
Locations
30 Northampton St
Roxbury, MA 02118
Phone (617) 433-9601
3550 Main St
Ste 101
Springfield, MA 01107
Phone (413) 739-0669
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Primary Care Clinic/Center
- Boston, MA
- NPI 1235174418
-
- Case Manager/Care Coordinator
- Boston, MA
- NPI 1679605091
-
- Clinic/Center
- East Boston, MA
- NPI 1740209881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295840866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 BROADWAY",
"address_2": "CHELSEA COUNSELING SERVICES",
"city": "CHELSEA",
"state": "MA",
"postal_code": "021502807",
"telephone_number": "617-912-7989",
"fax_number": "617-887-1889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 BROADWAY",
"address_2": "CHELSEA COUNSELING SERVICES",
"city": "CHELSEA",
"state": "MA",
"postal_code": "021502807",
"telephone_number": "617-912-7989",
"fax_number": "617-887-1889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEA",
"first_name": "DEBORAH",
"middle_name": "ANN",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "1027337",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chelsea, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.