ANGELIC SHEA LICSW NPI 1700922945

NPI Information

  • NPI: 1700922945
  • Provider Name: ANGELIC SHEA, LICSW
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 215 SUMMER STREET
    HARBORSIDE COUNSELING SERVICES
    HAVERHILL, MA
    ZIP 01830
  • Phone: (978) 462-2890

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NPI Details

Angelic Shea, LICSW is a mental health counselor in Haverhill, MA with 39 years of experience. Angelic Shea, LICSW NPI is 1700922945. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: BOSTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1987

The provider's business location address is:

215 SUMMER STREET
HARBORSIDE COUNSELING SERVICES
HAVERHILL, MA
ZIP 01830
Phone: (978) 462-2890
Fax: (978) 462-2890

The NPI 1700922945 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 1/29/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health1027147MASSACHUSETTSYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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