Jessica Leigh Shea, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0000005676 Issued in TN

Practice address

560 Colonial Rd Ste 201
Memphis, TN 38117-4097

Phone

(901) 930-7397

Fax

(901) 244-6528

NPI assigned

Jun 11, 2013

Sex

Female

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 TN

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

State licenses

Practice roles

Locations

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.

• Forward Counseling, PLC

  • Clinical Social Worker
  • Memphis, TN
  • NPI 1407266323
  Medicare reassignment NPD Authorized official
• You Can Sit With US

  dba Forward Counseling and Medical

  • Multi-Specialty Clinic/Center
  • Memphis, TN
  • NPI 1881582641

  Clinical

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1370908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522627200000",
    "number": "1679911721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 COLONIAL RD STE 201",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381174097",
            "telephone_number": "901-315-8625",
            "fax_number": "901-244-6528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 COLONIAL RD STE 201",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381174097",
            "telephone_number": "901-930-7397",
            "fax_number": "901-244-6528"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4646 Poplar Ave Ste 203",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381174432",
            "country_code": "US",
            "telephone_number": "901-930-7397",
            "fax_number": "901-244-6528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEA",
        "first_name": "JESSICA",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-11",
        "last_updated": "2018-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "0000005676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SHD Clinical Services
• Shea Center for Ears, Hearing and Balance Inc.
• Shea Clinic
• Shea Clinic (Shea Clinic, ASC)
• Shea Hearing Aid Center
• Paul F Shea, MD
• Kristin Sheaffer, MD
• Jack R Shearer, CRNA
• Ashley Elizabeth Shearman, MD
• Sheffield Pediatrics, PLLC

• Clinical Social Worker in Memphis, TN
• Providers in Memphis, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2018; 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.