Individual provider Active NPI

Julie M. Shea, LCSW

  • Clinical Social Worker
  • Onalaska, WI
National Provider Identifier
1952840563
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8368-123 Issued in WI
Practice address
704 Sand Lake Rd Ste 207E
Onalaska, WI 54650-2400
Phone
(608) 218-4245
Fax
(920) 383-3299
NPI assigned
Feb 15, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 8368-123 WI Primary

Addresses

Primary practice location

704 Sand Lake Rd Ste 207E
Onalaska, WI 54650-2400

Mailing address

W7933 Vermeer St
Holmen, WI 54636-4201
Phone (608) 218-4245

Other identifiers 1

IdentifierTypeStateIssuer
100065061MedicaidWI

Other names 1

  • Julie Prell Former name

Electronic endpoints 3

TypeEndpointUseAffiliation
Other URL Julie@sheacounselingLLC.com Health Information Exchange (HIE)
Direct Messaging Address julie@sheacounselingllc.com Direct
Direct Messaging Address julie@sheacounselingllc.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 7, 2025 through Apr 7, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8368-123WIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1487116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1952840563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W7933 VERMEER ST",
            "city": "HOLMEN",
            "state": "WI",
            "postal_code": "546364201",
            "telephone_number": "608-218-4245",
            "fax_number": "920-383-3299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 SAND LAKE RD STE 207E",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546502400",
            "telephone_number": "608-218-4245",
            "fax_number": "920-383-3299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEA",
        "first_name": "JULIE",
        "middle_name": "M.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-15",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "8368-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100065061",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Julie@sheacounselingLLC.com",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "secure email, EHRs",
            "address_1": "1605 Bluebird Ct",
            "city": "Neenah",
            "state": "WI",
            "country_code": "US",
            "postal_code": "549561991",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "julie@sheacounselingllc.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "1605 Bluebird Ct",
            "city": "Neenah",
            "state": "WI",
            "country_code": "US",
            "postal_code": "549561991",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "julie@sheacounselingllc.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "704 Sand Lake Rd Ste 207E",
            "city": "Onalaska",
            "state": "WI",
            "country_code": "US",
            "postal_code": "546502400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "PRELL",
            "credential": "APSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Onalaska, WI

Sources for this page

Verify at the official NPI Registry.