Sophia Isabel Shea, LCSW-A

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

P022127 Issued in NC

Practice address

5101 Dunlea Court
Unit 104
Wilmington, NC 28405

Phone

(336) 494-8856

Fax

(336) 281-0101

NPI assigned

Jan 14, 2022

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Center for Pediatric Behavioral Health

  • Clinical Child & Adolescent Psychologist
  • Wilmington, NC
  • NPI 1871962415
  NPD (past)

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

{
    "created_epoch": "1642118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1902557523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2432 S CHURCH ST.",
            "address_2": "SUITE B",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "27215",
            "telephone_number": "336-494-8856",
            "fax_number": "336-281-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 DUNLEA COURT",
            "address_2": "UNIT 104",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "28405",
            "telephone_number": "336-494-8856",
            "fax_number": "336-281-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEA",
        "first_name": "SOPHIA",
        "middle_name": "ISABEL",
        "credential": "LCSW-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-14",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "P022127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah L Shaw, LMBT
• Kara Shaw
• Makeba Sharice Shaw, MA, LPC
• Bassam Abdul-Qadir Shawamreh, MD
• Shawn M. Conrad, D.D.S., P.a.
• Luanne Gardner Sheaffer, PA-C
• Jennifer Sheargold, M.S., CCC-SLP
• Amy Shearin
• Jenna Shearl, LCSW
• Bobbie Lee Sheatsley, CRNA

• Professional Counselor in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; 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.