Sarah Elizabeth Shead, LCSW CA 112852

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

112852 Issued in CA

Practice address

13768 Ruette Le Parc Unit C
Del Mar, CA 92014-3577

Phone

(609) 320-0609

NPI assigned

Jan 11, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1673395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1598479792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13768 RUETTE LE PARC UNIT C",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920143577",
            "telephone_number": "609-320-0609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13768 RUETTE LE PARC UNIT C",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920143577",
            "telephone_number": "609-320-0609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEAD",
        "first_name": "SARAH",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "LCSW CA 112852",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-11",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "112852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elisa Serrano, DPT
• Norman Dale Severe, PSY.D.
• Danielle Beth Sfeir Mitzel, LMFT
• Lawrence Power Shank, D.C.
• Sharp Rees-Stealy Medical Group Inc
• Roger Sheen, PT, DPT
• Shelley Wisdom-Lazar Licensed Clinical Social Worker P.C.
• Kashaf Sherafgan, MD
• Oded R Shezifi, PSY.D
• Natanya Ann Yellin Shiah, IBCLC

• Clinical Social Worker in Del Mar, CA
• Providers in Del Mar, 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 Jan 19, 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.