Active NPI
Philip Shea, LCSWLADC1
- Addiction (Substance Use Disorder) Counselor
- Taunton, MA
National Provider Identifier
1972626661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 1179
- Practice address
- 1 Washington St
Taunton, MA 02780-3960 - Phone
- (508) 977-8100
- Fax
- (508) 824-6604
- NPI assigned
- Apr 9, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1179 | MA | Primary |
| Clinical Social Worker | 1041C0700X | 202740 | MA |
Addresses
Primary practice location
1 Washington St
Taunton, MA 02780-3960
Mailing address
320 Common St
Walpole, MA 02081-3318
Phone (508) 977-8100
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 |
|---|---|---|---|
| 202740 | MA | MD | Clinical Social Worker |
| 1179 | MA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1972626661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 COMMON ST",
"city": "WALPOLE",
"state": "MA",
"postal_code": "020813318",
"telephone_number": "508-977-8100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 WASHINGTON ST",
"city": "TAUNTON",
"state": "MA",
"postal_code": "027803960",
"telephone_number": "508-977-8100",
"fax_number": "508-824-6604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEA",
"first_name": "PHILIP",
"credential": "LCSWLADC1",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-09",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MA",
"license": "1179",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "202740",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Taunton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.