Kirsten Lyngved Shea, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW 10044 Issued in FL

Practice address

511 SE 5TH Ave
Apt. 1812
Ft Lauderdale, FL 33301-2984

Phone

(786) 683-4331

NPI assigned

Oct 6, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Senior Home Counseling and Advocacy, Inc.

  • Clinical Social Worker
  • Lake Worth, FL
  • NPI 1740587260
  NPD (past)

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

{
    "created_epoch": "1286323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329091200000",
    "number": "1316256498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 SE 5TH AVE",
            "address_2": "APT. 1812",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012984",
            "telephone_number": "786-683-4331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 SE 5TH AVE",
            "address_2": "APT. 1812",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012984",
            "telephone_number": "786-683-4331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEA",
        "first_name": "KIRSTEN",
        "middle_name": "LYNGVED",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-06",
        "last_updated": "2012-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 10044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "766393500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ben Simon Shatil, DO, MPH
• Aqsa Shaukat
• Brigitte Shaw, P.A.
• Marva May Shaw, LCSW
• Norman Shaw, MD
• Anthony Sheehan Jr., M.D.
• Shehnaz Hassan MD PA
• Sabina Sheikh, MD
• Shawn Shekar, MD
• Sheldon T Warman MD PA

• Clinical Social Worker in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2012; 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.