Justin Shea, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

106984 Issued in CA

Practice address

800 A St
San Rafael, CA 94901-3011

Phone

(415) 457-8182

Fax

(415) 457-7471

NPI assigned

Aug 27, 2015

Last updated

Sep 1, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: justin.shea@srhealth.eclinicaldirectplus.com

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.

• Ritter Center

  • Federally Qualified Health Center (FQHC)
  • San Rafael, CA
  • NPI 1417370032
  Medicare reassignment NPD

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

{
    "created_epoch": "1440633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1598132391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3517",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949123517",
            "telephone_number": "415-457-8182",
            "fax_number": "415-457-7471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 A ST",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013011",
            "telephone_number": "415-457-8182",
            "fax_number": "415-457-7471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEA",
        "first_name": "JUSTIN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-27",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "106984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shadi Shamshirgaran
• Samuel Alexander Share
• Neeraj Sharma, MD
• Chantel Sharp
• Karen Louise Shay, MFT
• Megan Shea, LCSW
• Colleen Mary Shearer, DPT
• Wendy E. Shearn, MD
• Inna Yakovlevna Sheinson, MD
• Jill Amy Sheldon, MFTI

• Clinical Social Worker in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.