Active NPI
Meghan Elizabeth Shea, LICSW, LCSW-R
- Clinical Social Worker
- Lagrangeville, NY
National Provider Identifier
1679881270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ISW3046
- Practice address
- 3 Ohare Dr
Lagrangeville, NY 12540-6110 - Phone
- (845) 489-5817
- NPI assigned
- Sep 16, 2010
- Last updated
- Feb 27, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 081393 | NY | |
| Clinical Social Worker | 1041C0700X | ISW3046 | RI | Primary |
Addresses
Primary practice location
3 Ohare Dr
Lagrangeville, NY 12540-6110
Mailing address
3 Ohare Dr
Lagrangeville, NY 12540-6110
Phone (845) 489-5817
Other practice location 1
34 John St
Newport, RI 02840-3106
Phone (845) 489-5817
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 081393 | NY | MD | Clinical Social Worker |
| ISW3046 | RI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677456000000",
"number": "1679881270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 OHARE DR",
"city": "LAGRANGEVILLE",
"state": "NY",
"postal_code": "125406110",
"telephone_number": "845-489-5817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 OHARE DR",
"city": "LAGRANGEVILLE",
"state": "NY",
"postal_code": "125406110",
"telephone_number": "845-489-5817"
}
],
"practiceLocations": [
{
"address_1": "34 John St",
"address_purpose": "LOCATION",
"city": "Newport",
"state": "RI",
"postal_code": "028403106",
"country_code": "US",
"telephone_number": "845-489-5817",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHEA",
"first_name": "MEGHAN",
"middle_name": "ELIZABETH",
"name_prefix": "Miss",
"credential": "LICSW, LCSW-R",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-16",
"last_updated": "2023-02-27",
"certification_date": "2023-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "081393",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "RI",
"license": "ISW3046",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lagrangeville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.